institution
Pediatric Dental Group
Pediatric Dentist in Portland, Oregon
NPI 1972770097

Pediatric Dental Group is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Pediatric Dental Group practices in Portland, OR. The NPI Number for Pediatric Dental Group is 1972770097 and holds a License No. D7977 (Oregon).

The current practice location address for Pediatric Dental Group is 5415 Sw Westgate Dr, Portland, OR and can be reached out via phone at 503-292-9274 and via fax at 503-292-2337. You can also correspond with Pediatric Dental Group through the mailing address at 5415 SW WESTGATE DR, PORTLAND, OR - 97221-2409 (mailing address contact number: 503-292-9274).

Location: 5415 Sw Westgate Dr, Portland, OR, 97221-2409
institution
Provider Profile Details
NPI Number
1972770097
Provider Name
Pediatric Dental Group
Credential
Provider Entity Type
Organization
Address
5415 Sw Westgate Dr, Portland, OR, 97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
person
Provider Business Mailing Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-292-9274
Fax Number
503-292-2337
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D7977 (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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