PEDIATRIC DENTAL CLINIC – Pediatric Dentistry, NPI 1679897292
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PEDIATRIC DENTAL CLINIC
19255, Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States
SUITE 250
TUALATIN, OR 970627451
Phone: (503) 612-1897
Fax: (503) 612-1899
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97062)
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