PAC DENTAL
NPI 1679696652
Dentist - General Practice in Portland, OR

Active since April 06, 2007
2850 SE 82ND AVE, SUITE 8, PORTLAND, OR 97266(503) 788-1415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pac Dental NPPES

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

PAC DENTAL (NPI 1679696652) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Justin S Lee, President, as its authorized official.

NPPES Registry Identity

NPI1679696652
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAC DENTAL
Location Address2850 SE 82ND AVE, SUITE 8Portland, OR 97266-1599
Mailing Address2850 Se 82nd Ave, Suite 8Portland, OR 97266-1599 · (503) 788-1415
Organization SubpartNo
Authorized OfficialJustin S LeePresident · (503) 788-1415
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1679696652 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 · D8646
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.

2850 SE 82ND AVE, Portland, OR 97266

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.

Chiropractor
2850 SE 82ND AVE, STE. #8
PORTLAND, OR 97266

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 Pac Dental's NPI number?

The NPI number for Pac Dental is 1679696652. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Pac Dental located?

Pac Dental is located at 2850 SE 82nd Ave Suite 8, Portland, OR 97266. The listed phone number is (503) 788-1415.

What is Pac Dental'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 Pac Dental was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.