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PEDIATRIC DENTAL CLINIC
NPI 1679897292
Dentist - Pediatric Dentistry in Tualatin, OR

Active since March 25, 2010
19255 SW 65TH AVE, SUITE 250, TUALATIN, OR 97062(503) 612-1897(503) 612-1899 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dental Clinic NPPES

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

PEDIATRIC DENTAL CLINIC (NPI 1679897292) is a healthcare organization registered as a pediatric dentistry in Tualatin, Oregon and active in the NPI registry since March 2010. The organization lists Ben Bum-joon Kang, Owner, as its authorized official.

NPPES Registry Identity

NPI1679897292
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CLINIC
Location Address19255 SW 65TH AVE, SUITE 250Tualatin, OR 97062-7451
Mailing Address19255 Sw 65th Ave, Suite 250Tualatin, OR 97062-7451 · (503) 612-1897 · Fax (503) 612-1899
Phone(503) 612-1897
Fax(503) 612-1899
Organization SubpartNo
Authorized OfficialBen Bum-joon KangOwner · (503) 612-1897
Enumeration DateMarch 25, 2010
✔ NPI 1679897292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
19255 SW 65TH AVE, Tualatin, OR 97062
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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 16

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

PROACTIVE PHYSICAL THERAPY TUALATIN
Physical Therapist
19255 SW 65TH AVE, SUITE 250
TUALATIN, OR 97062
Washington County (503) 545-0526
DR. DREW THOMAS HERION D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
19255 SW 65TH AVE, SUITE 230
TUALATIN, OR 97062
Washington County (503) 691-9970
ADVANCED DERMATOLOGY OF OREGON PC
Dermatology
19255 SW 65TH AVE, STE 260
TUALATIN, OR 97062
Washington County (503) 692-9525
DR. BRYAN JOHNSON D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
19255 SW 65TH AVE, SUITE #230
TUALATIN, OR 97062
Washington County (503) 691-9970
KEVIN APPLIN HANSON D.P.T.
Physical Therapist
19255 SW 65TH AVE, SUITE 120
TUALATIN, OR 97062
Washington County (503) 692-4934
THOMAS P. MCWEENEY MD PC
Specialist
19255 SW 65TH AVE, SUITE 110
TUALATIN, OR 97062
Washington County (503) 506-8384
OREGON SPINE CARE LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19255 SW 65TH AVE, SUITE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
MICHAEL CRAIG COLLISON DPT
Physical Therapist
19255 SW 65TH AVE, STE. 120
TUALATIN, OR 97062
Washington County (503) 692-4934

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 Pediatric Dental Clinic's NPI number?

The NPI number for Pediatric Dental Clinic is 1679897292. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Pediatric Dental Clinic located?

Pediatric Dental Clinic is located at 19255 SW 65th Ave Suite 250, Tualatin, OR 97062. The listed phone number is (503) 612-1897.

What is Pediatric Dental Clinic'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 Pediatric Dental Clinic was last updated on March 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.