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WOODBURN MODERN DENTAL LLC
NPI 1821643693
Dentist - General Practice in Woodburn, OR

Active since August 07, 2019
1641 MOUNT HOOD AVE, WOODBURN, OR 97071(713) 927-5101 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 31, 2019, Aug 7, 2019 (2 updates tracked since 2019).

About Woodburn Modern Dental Llc NPPES

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

WOODBURN MODERN DENTAL LLC (NPI 1821643693) is a healthcare organization registered as a general practice in Woodburn, Oregon and active in the NPI registry since August 2019. The organization lists Jabal Patel, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1821643693
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWOODBURN MODERN DENTAL LLC
Location Address1641 MOUNT HOOD AVEWoodburn, OR 97071-9070
Mailing Address1641 Mount Hood AveWoodburn, OR 97071-9070 · (503) 305-2525 · Fax (503) 305-2526
Phone(713) 927-5101
Organization SubpartNo
Authorized OfficialJabal PatelCo-owner · (847) 224-3846
Enumeration DateAugust 7, 2019
Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration
✔ NPI 1821643693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1641 MOUNT HOOD AVE, Woodburn, OR 97071
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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 Woodburn Modern Dental LLC's NPI number?

The NPI number for Woodburn Modern Dental LLC is 1821643693. It was assigned to this organization in the NPPES registry on August 7, 2019.

Where is Woodburn Modern Dental LLC located?

Woodburn Modern Dental LLC is located at 1641 Mount Hood Ave, Woodburn, OR 97071. The listed phone number is (713) 927-5101.

What is Woodburn Modern Dental LLC'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 Woodburn Modern Dental LLC was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.