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NORTHEAST FAMILY DENTAL
NPI 1003115676
Dentist in Portland, OR

Active since March 22, 2011
1904 NE 45TH AVE, PORTLAND, OR 97213(503) 281-0866(503) 281-0867 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FAMILY DENTAL (NPI 1003115676) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since March 2011. The organization lists John Harley Worthington, President, as its authorized official.

NPPES Registry Identity

NPI1003115676
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJOHN WORTHINGTON DDS, PC
Location Address1904 NE 45TH AVEPortland, OR 97213-1418
Mailing Address1904 Ne 45th AvePortland, OR 97213-1418 · (503) 281-0866 · Fax (503) 281-0867
Phone(503) 281-0866
Fax(503) 281-0867
Organization SubpartNo
Authorized OfficialJohn Harley WorthingtonPresident · (503) 281-0866
Enumeration DateMarch 22, 2011
✔ NPI 1003115676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D9182
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1904 NE 45TH AVE, Portland, OR 97213
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Other Names 1

Doing Business AsNortheast Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWRENCE PAUL GAGNON DMD
Dentist (General Practice)
1904 NE 45TH AVE
PORTLAND, OR 97213
Multnomah County (503) 281-0866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Worthington Dds, PC's NPI number?

The NPI number for John Worthington Dds, PC is 1003115676. It was assigned to this organization in the NPPES registry on March 22, 2011. The provider is doing business as Northeast Family Dental.

Where is John Worthington Dds, PC located?

John Worthington Dds, PC is located at 1904 NE 45th Ave, Portland, OR 97213. The listed phone number is (503) 281-0866.

What is John Worthington Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John Worthington Dds, PC was last updated on March 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.