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Dr. Peter John Lax, DMD
Pediatric Dentist in Portland, Oregon
NPI 1053408005

Peter John Lax is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Peter John Lax practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Peter John Lax is 1053408005 and holds a License No. D5068 (Oregon).

The current practice location address for Peter John Lax is 830 Ne 47Th Ave, Portland, OR and can be reached out via phone at 503-215-2400.

Location: 830 Ne 47Th Ave, Portland, OR, 97232-2653
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Provider Profile Details
NPI Number
1053408005
Provider Name
Peter John Lax
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
830 Ne 47Th Ave, Portland, OR, 97232-2653
Phone Number
503-215-2400
Fax Number
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111583 05 OR
institution
Provider Business Practice Location Address Details
Address
830 Ne 47Th Ave
City
State
Zip
97213-2212
Phone Number
503-215-2400
Fax Number
person
Provider Business Mailing Address Details
Address
830 Ne 47Th Ave
City
State
Zip
97213-2212
Phone Number
503-215-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D5068 (Oregon)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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