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Dr. Anastacia M. Whitman, DMD
Pediatric Dentist in Portland, Oregon
NPI 1972639623

Anastacia M. Whitman is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Anastacia M. Whitman practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Anastacia M. Whitman is 1972639623 and holds a License No. 10970 (Oregon).

The current practice location address for Anastacia M. Whitman is 4548 N Albina Ave, Portland, OR and can be reached out via phone at 503-626-9711.

Location: 4548 N Albina Ave, Portland, OR, 97217-3010
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Provider Profile Details
NPI Number
1972639623
Provider Name
Anastacia M. Whitman
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4548 N Albina Ave, Portland, OR, 97217-3010
Phone Number
503-626-9711
Fax Number
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
244432 05 OR
institution
Provider Business Practice Location Address Details
Address
4548 N Albina Ave
City
State
Zip
97217-3010
Phone Number
503-626-9711
Fax Number
person
Provider Business Mailing Address Details
Address
4548 N Albina Ave
City
State
Zip
97217-3010
Phone Number
503-626-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
10970 (Washington)
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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