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BETHANY FAMILY DENTAL PC
NPI 1053857433
Dentist - General Practice in Portland, OR

Active since January 10, 2017
4732 NW BETHANY BLVD, STE G-2, PORTLAND, OR 97229(503) 617-7384 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Family Dental Pc NPPES

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

BETHANY FAMILY DENTAL PC (NPI 1053857433) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since January 2017. The organization lists Lacey Welin, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053857433
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBETHANY FAMILY DENTAL PC
Location Address4732 NW BETHANY BLVD, STE G-2Portland, OR 97229-9410
Mailing Address4732 Nw Bethany Blvd, Ste G-2Portland, OR 97229-9410 · (503) 617-7384
Phone(503) 617-7384
Organization SubpartNo
Authorized OfficialLacey WelinInsurance Coordinator · (503) 617-7384
Enumeration DateJanuary 10, 2017
✔ NPI 1053857433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6857
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.

4732 NW BETHANY BLVD, Portland, OR 97229
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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

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 Bethany Family Dental PC's NPI number?

The NPI number for Bethany Family Dental PC is 1053857433. It was assigned to this organization in the NPPES registry on January 10, 2017.

Where is Bethany Family Dental PC located?

Bethany Family Dental PC is located at 4732 NW Bethany Blvd Ste G-2, Portland, OR 97229. The listed phone number is (503) 617-7384.

What is Bethany Family Dental PC'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 Bethany Family Dental PC was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.