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DYLAN P. BOOTH, DDS, PC
NPI 1174108567
Clinic/Center - Dental in Portland, OR

Active since March 17, 2021
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214(503) 232-3102 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About DYLAN P. BOOTH, DDS, PC

This page provides the complete NPI Profile along with additional information for Dylan P. Booth, Dds, Pc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1174108567 assigned on March 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dylan Booth Dds (Owner/dentist)

NPI
1174108567 Verify this NPI
Provider Name
DYLAN P. BOOTH, DDS, PC
Entity Type
Organization
Location Address
2505 SE HAWTHORNE BLVD PORTLAND, OR 97214
Location Phone
(503) 232-3102
Mailing Address
2505 SE HAWTHORNE BLVD PORTLAND, OR 97214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2021
Last Update Date
03-17-2021
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DYLAN BOOTH DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(925) 786-1221

Reviews for DYLAN P. BOOTH, DDS, PC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

BELLA SMILE DENTAL LLC
Dentist (General Practice)
2505 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3102
FRIENDLY SMILES DENTAL GROUP
Dentist
2505 SE HAWTHORNE BLVD, SUITE B
PORTLAND, OR 97214
Multnomah County (503) 232-3102
DR. FAY H LEE DMD
Dentist (General Practice)
2505 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3102

Frequently Asked Questions

What is DYLAN P. BOOTH, DDS, PC's NPI number?

The NPI number assigned to this healthcare provider is 1174108567, enumerated as an "organization" on March 17, 2021.

Where is the provider located?

The provider is located at 2505 SE HAWTHORNE BLVD PORTLAND, OR 97214 and the phone number is (503) 232-3102.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.