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WEST TABOR DENTAL LLC
NPI 1629936679
Dentist - General Practice in Portland, OR

Active since January 09, 2026
5043 SE HAWTHORNE BLVD, PORTLAND, OR 97215(503) 232-8847(503) 232-6890 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, Jan 9, 2026 (2 updates tracked since 2026).

About West Tabor Dental Llc NPPES

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

WEST TABOR DENTAL LLC (NPI 1629936679) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since January 2026. The organization lists Tracy Avritt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629936679
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWEST TABOR DENTAL LLC
Location Address5043 SE HAWTHORNE BLVDPortland, OR 97215-3255
Mailing Address5043 Se Hawthorne BlvdPortland, OR 97215-3255 · (503) 232-8847
Phone(503) 232-8847
Fax(503) 232-6890
Organization SubpartNo
Authorized OfficialTracy AvrittOffice Manager · (503) 232-8847
Enumeration DateJanuary 9, 2026
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1629936679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5043 SE HAWTHORNE BLVD, Portland, OR 97215
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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. JILL MARIE PRICE D.M.D.
Dentist (General Practice)
5043 SE HAWTHORNE BLVD
PORTLAND, OR 97215
Multnomah County (503) 232-8847
DR. KATIE SKOVBORG D.D.S.
Dentist (General Practice)
5043 SE HAWTHORNE BLVD
PORTLAND, OR 97215
Multnomah County (503) 232-8847

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 West Tabor Dental LLC's NPI number?

The NPI number for West Tabor Dental LLC is 1629936679. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is West Tabor Dental LLC located?

West Tabor Dental LLC is located at 5043 SE Hawthorne Blvd, Portland, OR 97215. The listed phone number is (503) 232-8847.

What is West Tabor 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 West Tabor Dental LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.