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PEDIATRIC DENTISTRY, RC
NPI 1720240427
Dentist - Pediatric Dentistry in Portland, OR

Active since June 25, 2008
2824 NE WASCO ST, SUITE 230, PORTLAND, OR 97232(503) 284-5678 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dentistry, Rc NPPES

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

PEDIATRIC DENTISTRY, RC (NPI 1720240427) is a healthcare organization registered as a pediatric dentistry in Portland, Oregon and active in the NPI registry since June 2008. The organization lists Noel V Larsen, Dentist/owner Of Practice, as its authorized official.

NPPES Registry Identity

NPI1720240427
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY, RC
Location Address2824 NE WASCO ST, SUITE 230Portland, OR 97232-1772
Mailing Address2824 Ne Wasco St, Suite 230Portland, OR 97232-1772 · (503) 284-5678
Phone(503) 284-5678
Organization SubpartNo
Authorized OfficialNoel V LarsenDentist/owner Of Practice · (503) 284-5678
Enumeration DateJune 25, 2008
✔ NPI 1720240427 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.
2824 NE WASCO ST, Portland, OR 97232
Open in Google Maps ↗

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 12

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

MICHAEL GREGORY PAGE
Dentist (Pediatric Dentistry)
2824 NE WASCO ST, SUITE 230
PORTLAND, OR 97232
Multnomah County (503) 284-5678
LAURISSA CHAMPION DMD LLC
Dentist (Periodontics)
2824 NE WASCO ST, SUITE 230
PORTLAND, OR 97232
Multnomah County (503) 954-1372
DR. THEODORE RASK D.M.D.
Dentist (General Practice)
2824 NE WASCO ST, SUITE 210
PORTLAND, OR 97232
Multnomah County (503) 284-3575
DEIRDRE FROEHLICH DMD LLC
Clinic/Center (Dental)
2824 NE WASCO ST, SUITE 200
PORTLAND, OR 97232
Multnomah County (503) 282-3884
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2824 NE WASCO ST
PORTLAND, OR 97232
Multnomah County (503) 493-8227
DR. MONICA ANN KENNARD D.D.S.
Dentist (Pediatric Dentistry)
2824 NE WASCO ST
PORTLAND, OR 97232
Multnomah County (503) 284-5678
DR. DEIRDRE LEE FROEHLICH D.M.D.
Dentist (General Practice)
2824 NE WASCO ST, SUITE 200
PORTLAND, OR 97232
Multnomah County (503) 282-3884
DR. ANDREA NICOLE BELTZNER D.M.D.
Dentist (Pediatric Dentistry)
2824 NE WASCO ST, SUITE 230
PORTLAND, OR 97232
Multnomah County (503) 284-5678

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, Rc's NPI number?

The NPI number for Pediatric Dentistry, Rc is 1720240427. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Pediatric Dentistry, Rc located?

Pediatric Dentistry, Rc is located at 2824 NE Wasco St Suite 230, Portland, OR 97232. The listed phone number is (503) 284-5678.

What is Pediatric Dentistry, Rc'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, Rc was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.