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PETTYGROVE DENTAL LLC
NPI 1558801597
Dentist - General Practice in Portland, OR

Active since February 23, 2017
2267 NW PETTYGROVE ST, PORTLAND, OR 97210(503) 224-6317 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pettygrove Dental Llc NPPES

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

PETTYGROVE DENTAL LLC (NPI 1558801597) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since February 2017. The organization lists Carmel Dudley Doran, Dentist, as its authorized official.

NPPES Registry Identity

NPI1558801597
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETTYGROVE DENTAL LLC
Location Address2267 NW PETTYGROVE STPortland, OR 97210-2760
Mailing Address2267 Nw Pettygrove StPortland, OR 97210-2760 · (503) 224-6317
Phone(503) 224-6317
Organization SubpartNo
Authorized OfficialCarmel Dudley DoranDentist · (503) 224-6317
Enumeration DateFebruary 23, 2017
✔ NPI 1558801597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D9708
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2267 NW PETTYGROVE ST, Portland, OR 97210
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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 4

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

MS. JANET LEWIS LCSW
Social Worker (Clinical)
2267 NW PETTYGROVE ST
PORTLAND, OR 97210
Multnomah County (503) 294-1075
CRAIG C. BENBEN D.M.D.
Dentist (General Practice)
2267 NW PETTYGROVE ST
PORTLAND, OR 97210
Multnomah County (503) 224-6317
MONNE SMITH LICENSED COUNSELOR
Counselor (Mental Health)
2267 NW PETTYGROVE ST
PORTLAND, OR 97210
Multnomah County (503) 730-7935
DR. CARMEL DUDLEY DORAN DDS
Dentist (General Practice)
2267 NW PETTYGROVE ST
PORTLAND, OR 97210
Multnomah County (503) 224-6317

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 Pettygrove Dental LLC's NPI number?

The NPI number for Pettygrove Dental LLC is 1558801597. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Pettygrove Dental LLC located?

Pettygrove Dental LLC is located at 2267 NW Pettygrove St, Portland, OR 97210. The listed phone number is (503) 224-6317.

What is Pettygrove Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pettygrove Dental LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.