WAGGONER DENTISTRY PC
NPI 1093646085
Dentist - Pediatric Dentistry in Lake Oswego, OR
NPI Status: Active since May 27, 2026
Contact Information
15962 BOONES FERRY RD STE 208
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 292-9274
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Dentist
- Pediatric Dentistry
About WAGGONER DENTISTRY PC
This page provides the complete NPI Profile along with additional information for Waggoner Dentistry Pc, a provider established in Lake Oswego, Oregon operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1093646085 assigned on May 2026. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tesha Waggoner Dmd (Owner)
- NPI
- 1093646085
- Provider Name
- WAGGONER DENTISTRY PC
- Entity Type
- Organization
- Location Address
- 15962 BOONES FERRY RD STE 208 LAKE OSWEGO, OR 97035
- Location Phone
- (503) 292-9274
- Mailing Address
- 5415 SW WESTGATE DR STE 207 PORTLAND, OR 97221
- Mailing Phone
- (503) 292-9274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2026
- Last Update Date
- 05-27-2026
- Code Navigator
A dentist like Waggoner Dentistry Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093646085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LAKE OSWEGO, OR 97035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093646085, enumerated as an "organization" on May 27, 2026.
The provider is located at 15962 BOONES FERRY RD STE 208 LAKE OSWEGO, OR 97035 and the phone number is (503) 292-9274.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
