1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

MASTER DENTAL SMILES INC
NPI 1003442518
Dentist - General Practice in Portland, OR

Active since March 16, 2020
12661 SE POWELL BLVD STE C, PORTLAND, OR 97236(503) 761-1900 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Master Dental Smiles Inc NPPES

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

MASTER DENTAL SMILES INC (NPI 1003442518) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since March 2020. The organization lists James Robert Edwards, Dentist, as its authorized official.

NPPES Registry Identity

NPI1003442518
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMASTER DENTAL SMILES INC
Location Address12661 SE POWELL BLVD STE CPortland, OR 97236-3400
Mailing Address12661 Se Powell Blvd Ste CPortland, OR 97236-3400 · (503) 761-1900
Phone(503) 761-1900
Organization SubpartNo
Authorized OfficialJames Robert EdwardsDentist · (503) 761-1900
Enumeration DateMarch 16, 2020
NPPES CertifiedMarch 16, 2020
✔ NPI 1003442518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12661 SE POWELL BLVD STE C, Portland, OR 97236
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

IVAN JOHN KONKIN
Denturist
12661 SE POWELL BLVD STE C
PORTLAND, OR 97236
Multnomah County (503) 655-4007
SMILECRAFT DENTURES LLC
Denturist
12661 SE POWELL BLVD STE C
PORTLAND, OR 97236
Multnomah County (503) 380-7306

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 Master Dental Smiles Inc's NPI number?

The NPI number for Master Dental Smiles Inc is 1003442518. It was assigned to this organization in the NPPES registry on March 16, 2020.

Where is Master Dental Smiles Inc located?

Master Dental Smiles Inc is located at 12661 SE Powell Blvd Ste C, Portland, OR 97236. The listed phone number is (503) 761-1900.

What is Master Dental Smiles Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Master Dental Smiles Inc was last updated on March 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.