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POWELL DENTAL SPECIALTIES
NPI 1306183074
Dentist - Endodontics in Portland, OR

Active since January 14, 2013
12661 SE POWELL BLVD STE D, PORTLAND, OR 97236(503) 760-1880(503) 775-6849 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Powell Dental Specialties NPPES

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

POWELL DENTAL SPECIALTIES (NPI 1306183074) is a healthcare organization registered as an endodontics in Portland, Oregon and active in the NPI registry since January 2013. The organization lists Tony Gaby Bassili, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1306183074
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePOWELL DENTAL SPECIALTIES
Location Address12661 SE POWELL BLVD STE DPortland, OR 97236-3400
Mailing Address12661 Se Powell Blvd Ste DPortland, OR 97236-3400 · (503) 760-1880 · Fax (503) 775-6849
Phone(503) 760-1880
Fax(503) 775-6849
Organization SubpartNo
Authorized OfficialTony Gaby BassiliEndodontist · (503) 432-3997
Enumeration DateJanuary 14, 2013
✔ NPI 1306183074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OR · D7799
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
12661 SE POWELL BLVD STE D, Portland, OR 97236
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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

Other Providers at the Same Location NPPES

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

DR. O'SAMA SHAHADEH BETROUS DMD
Dentist (General Practice)
12661 SE POWELL BLVD STE D
PORTLAND, OR 97236
Multnomah County (503) 760-7983

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 Powell Dental Specialties's NPI number?

The NPI number for Powell Dental Specialties is 1306183074. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Powell Dental Specialties located?

Powell Dental Specialties is located at 12661 SE Powell Blvd Ste D, Portland, OR 97236. The listed phone number is (503) 760-1880.

What is Powell Dental Specialties's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Powell Dental Specialties was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.