TESHA LYNN WAGGONER DMD
NPI 1821403924
Dentist - Pediatric Dentistry in Hillsboro, OR

Active since June 26, 2014
150 SE 3RD AVE, HILLSBORO, OR 97123(503) 213-1257(503) 213-1258 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tesha Lynn Waggoner Dmd NPPES

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

TESHA LYNN WAGGONER DMD (NPI 1821403924) is an individual pediatric dentistry provider in Hillsboro, Oregon, licensed in Oregon (D10820) and active in the NPI registry since June 2014. She maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1821403924
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameTESHA LYNN WAGGONERCredential: DMD
Location Address150 SE 3RD AVEHillsboro, OR 97123
Mailing Address14201 Ne 20th Ave Ste B200Vancouver, WA 98686-6412 · (360) 571-8181 · Fax (360) 573-4022
Fax(503) 213-1258
Sole ProprietorNo
Enumeration DateJune 26, 2014
Last NPPES UpdateAugust 27, 2018
NPI 1821403924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in OR · D10820
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.
Also ListedDentistTaxonomy 122300000X · License DTT 242 (HI)
150 SE 3RD AVE, Hillsboro, OR 97123

Secondary Practice Location 1

Location 11301 Punchbowl StHonolulu, HI 96813-2402 · Phone (808) 691-4292 · Fax (808) 691-5028

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dental Hygienist
150 SE 3RD AVE
HILLSBORO, OR 97123
Dental Hygienist
150 SE 3RD AVE
HILLSBORO, OR 97123
Denturist
150 SE 3RD AVE
HILLSBORO, OR 97123
Dentist (Pediatric Dentistry)
150 SE 3RD AVE
HILLSBORO, OR 97123
Dentist (Pediatric Dentistry)
150 SE 3RD AVE
HILLSBORO, OR 97123

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 Tesha Waggoner's NPI number?

The NPI number for Tesha Waggoner is 1821403924. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Tesha Waggoner located?

Tesha Waggoner practices at 150 SE 3rd Ave, Hillsboro, OR 97123. The listed phone number is (503) 213-1257.

What is Tesha Waggoner's specialty?

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

What insurance does Tesha Waggoner accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 4 other insurers list Tesha Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tesha Waggoner was last updated on August 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.