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HOLLYWOOD CHILDREN'S DENTISTRY
NPI 1538438296
Dentist - Pediatric Dentistry in Portland, OR

Active since December 23, 2011
3839 NE TILLAMOOK ST, PORTLAND, OR 97212(503) 288-5891(503) 288-1525 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hollywood Children's Dentistry NPPES

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

HOLLYWOOD CHILDREN'S DENTISTRY (NPI 1538438296) is a healthcare organization registered as a pediatric dentistry in Portland, Oregon and active in the NPI registry since December 2011. The organization lists Krista V Badger, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1538438296
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHOLLYWOOD CHILDREN'S DENTISTRY
Location Address3839 NE TILLAMOOK STPortland, OR 97212-5338
Mailing Address3839 Ne Tillamook StPortland, OR 97212-5338 · (503) 288-5891 · Fax (503) 288-1525
Phone(503) 288-5891
Fax(503) 288-1525
Organization SubpartNo
Authorized OfficialKrista V BadgerOwner/partner · (503) 288-5891
Enumeration DateDecember 23, 2011
✔ NPI 1538438296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OR · D7649
Definition
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.
3839 NE TILLAMOOK ST, Portland, OR 97212
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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 2

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

KRISTA V BADGER DDS PC
Dentist (Pediatric Dentistry)
3839 NE TILLAMOOK ST
PORTLAND, OR 97212
Multnomah County (503) 288-5891
DR. SHEENA KALIA DDS
Dentist (Pediatric Dentistry)
3839 NE TILLAMOOK ST
PORTLAND, OR 97212
Multnomah County (503) 288-5891

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 Hollywood Children's Dentistry's NPI number?

The NPI number for Hollywood Children's Dentistry is 1538438296. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Hollywood Children's Dentistry located?

Hollywood Children's Dentistry is located at 3839 NE Tillamook St, Portland, OR 97212. The listed phone number is (503) 288-5891.

What is Hollywood Children's Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Hollywood Children's Dentistry was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.