PEDIATRIC DENTISTRY OF PORTLAND LLC
NPI 1679924526
Dentist - Pediatric Dentistry in Portland, OR

Q: What is Pediatric Dentistry Of Portland LLC's NPI number?

The NPI number for Pediatric Dentistry Of Portland LLC is 1679924526. It was assigned to this organization in the NPPES registry on June 22, 2016.

Q: What is Pediatric Dentistry Of Portland LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 22, 2016

2811 NE WASCO ST, PORTLAND, OR 97232(503) 284-5678 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dentistry Of Portland Llc NPPES

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

PEDIATRIC DENTISTRY OF PORTLAND LLC (NPI 1679924526) is a healthcare organization registered as a pediatric dentistry in Portland, Oregon and active in the NPI registry since June 2016. The organization lists Noel Larsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1679924526

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTISTRY OF PORTLAND LLC

Location Address2811 NE WASCO STPortland, OR 97232-1771

Mailing Address2811 Ne Wasco StPortland, OR 97232-1771

Phone(503) 284-5678

Organization SubpartNo

Authorized OfficialNoel LarsenOwner · (503) 284-5678

Enumeration DateJune 22, 2016

✔ NPI 1679924526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OR · D6853

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.

2811 NE WASCO ST, Portland, OR 97232

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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

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 Dentistry Of Portland LLC's NPI number?

The NPI number for Pediatric Dentistry Of Portland LLC is 1679924526. It was assigned to this organization in the NPPES registry on June 22, 2016.

Where is Pediatric Dentistry Of Portland LLC located?

Pediatric Dentistry Of Portland LLC is located at 2811 NE Wasco St, Portland, OR 97232. The listed phone number is (503) 284-5678.

What is Pediatric Dentistry Of Portland LLC'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 Dentistry Of Portland LLC was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.