Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Dental Clinic

Organization Pediatric Dentistry · NPI 1679897292

Pediatric Dental Clinic provides Pediatric Dentistry in Tualatin, Oregon. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

19255 SW 65th Ave Ste 250
Tualatin, OR 97062-7451 Not confirmed with CMS for 16 years — call before visiting
Phone: (503) 612-1897
Fax: (503) 612-1899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1679897292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Kang — Owner · (503) 612-1897
NPI enumeratedMarch 25, 2010
Last updated in NPPESMarch 25, 2010
Mailing address19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062-7451

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