Tesha Waggoner Dmd Pc - Portland, OR

Tesha Waggoner Dmd Pc

Pediatric Dentist in Portland, Oregon

NPI 1790558997

Tesha Waggoner Dmd Pc is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Tesha Waggoner Dmd Pc practices in Portland, OR. The NPI Number for Tesha Waggoner Dmd Pc is 1790558997 and holds a License No. (Oregon).

The current practice location address for Tesha Waggoner Dmd Pc is 5415 Sw Westgate Dr., Portland, OR and can be reached out via phone at 503-292-9274 and via fax at 503-445-0043.

Location: 5415 Sw Westgate Dr., Portland, OR, 97221

NPI Number

1790558997

Provider Name

Tesha Waggoner Dmd Pc

Credential

Provider Entity Type

Organization

Address

5415 Sw Westgate Dr., Portland, OR, 97221

Phone Number

503-292-9274

Fax Number

503-445-0043

Provider Enumeration Date

10/31/2023

Last Update Date

03/13/2024

Identifier	Type	State	Issuer
500748806	05	OR

Address

5415 Sw Westgate Dr.

City

Portland

State

Oregon

Zip

97221

Phone Number

503-292-9274

Fax Number

503-445-0043

Address

5415 Sw Westgate Dr.

City

Portland

State

Oregon

Zip

97221

Phone Number

503-292-9274

Fax Number

503-445-0043

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

License No.

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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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