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PEDIATRIC DENTAL GROUP
NPI 1972770097
Dentist - Pediatric Dentistry in Portland, OR

Active since May 08, 2008
5415 SW WESTGATE DR, SUITE 207, PORTLAND, OR 97221(503) 292-9274(503) 292-2337 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Group NPPES

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

PEDIATRIC DENTAL GROUP (NPI 1972770097) is a healthcare organization registered as a pediatric dentistry in Portland, Oregon and active in the NPI registry since May 2008. The organization lists David J Cavano, Dentist, as its authorized official.

NPPES Registry Identity

NPI1972770097
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL GROUP
Location Address5415 SW WESTGATE DR, SUITE 207Portland, OR 97221-2409
Mailing Address5415 Sw Westgate Dr, Suite 207Portland, OR 97221-2409 · (503) 292-9274 · Fax (503) 292-2337
Phone(503) 292-9274
Fax(503) 292-2337
Organization SubpartNo
Authorized OfficialDavid J CavanoDentist · (503) 292-9274
Enumeration DateMay 8, 2008
✔ NPI 1972770097 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 · D7977
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.
5415 SW WESTGATE DR, Portland, OR 97221
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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 20

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

RAWDAH MOHAMMED HEGAZY
Student in an Organized Health Care Education/Training Program
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581
SKYLER M BJORKLUND LMSW
Counselor
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581
MUBARIG JAMA
Case Manager/Care Coordinator
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3681
SARAH JULIA SPERGEL
Counselor
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581
DANIEL GRABOWSKY
Peer Specialist
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581
HANNAH LEE SMARGIASSI
Student in an Organized Health Care Education/Training Program
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (971) 278-3173
RAMA MAHROUS
Case Manager/Care Coordinator
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581
COLLEEN THOMPSON
Case Manager/Care Coordinator
5415 SW WESTGATE DR
PORTLAND, OR 97221
Multnomah County (503) 645-3581

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 Group's NPI number?

The NPI number for Pediatric Dental Group is 1972770097. It was assigned to this organization in the NPPES registry on May 8, 2008.

Where is Pediatric Dental Group located?

Pediatric Dental Group is located at 5415 SW Westgate Dr Suite 207, Portland, OR 97221. The listed phone number is (503) 292-9274.

What is Pediatric Dental Group'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 Group was last updated on May 8, 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.