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PACIFIC DENTAL INSTITUTE
NPI 1619180007
Dentist - Prosthodontics in Portland, OR

Active since May 08, 2007
12750 SW 68TH AVE, PORTLAND, OR 97223(503) 639-5136(503) 620-0187 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pacific Dental Institute NPPES

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

PACIFIC DENTAL INSTITUTE (NPI 1619180007) is a healthcare organization registered as a prosthodontics in Portland, Oregon and active in the NPI registry since May 2007. The organization lists John A Sorensen, Director, as its authorized official.

NPPES Registry Identity

NPI1619180007
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NamePACIFIC DENTAL INSTITUTE
Location Address12750 SW 68TH AVEPortland, OR 97223-8596
Mailing Address12750 Sw 68th AvenuePortland, OR 97223 · (503) 639-5136 · Fax (503) 620-0187
Phone(503) 639-5136
Fax(503) 620-0187
Organization SubpartNo
Authorized OfficialJohn A SorensenDirector · (503) 639-5136
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619180007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in OR · D7165
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
12750 SW 68TH AVE, Portland, OR 97223
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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.

DR. JEFFREY M BURSTEIN D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
12750 SW 68TH AVE
TIGARD, OR 97223
Washington County (503) 620-6797
RAJAT JAIPRAKASH RATHI BDS, MS
Dentist (Prosthodontics)
12750 SW 68TH AVE
PORTLAND, OR 97223
Washington County (503) 620-6797

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 Pacific Dental Institute's NPI number?

The NPI number for Pacific Dental Institute is 1619180007. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Pacific Dental Institute located?

Pacific Dental Institute is located at 12750 SW 68th Ave, Portland, OR 97223. The listed phone number is (503) 639-5136.

What is Pacific Dental Institute's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Pacific Dental Institute was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.