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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: August 23, 2026.

About Dylan P. Booth, Dds, Pc NPPES

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

DYLAN P. BOOTH, DDS, PC (NPI 1174108567), doing business as Friendly Smiles Dental, is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since March 2021. The organization lists Dylan Booth, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1174108567
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDYLAN P. BOOTH, DDS, PC
Location Address2505 SE HAWTHORNE BLVDPortland, OR 97214-3926
Mailing Address2505 Se Hawthorne BlvdPortland, OR 97214-3926
Phone(503) 232-3102
Organization SubpartNo
Authorized OfficialDylan BoothOwner/dentist · (925) 786-1221
Enumeration DateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1174108567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2505 SE HAWTHORNE BLVD, Portland, OR 97214
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Other Names 1

Doing Business AsFriendly Smiles Dental

Other Providers at the Same Location NPPES 3

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

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

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 Dylan P. Booth, Dds, PC's NPI number?

The NPI number for Dylan P. Booth, Dds, PC is 1174108567. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Friendly Smiles Dental.

Where is Dylan P. Booth, Dds, PC located?

Dylan P. Booth, Dds, PC is located at 2505 SE Hawthorne Blvd, Portland, OR 97214. The listed phone number is (503) 232-3102.

What is Dylan P. Booth, Dds, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dylan P. Booth, Dds, PC was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.