WORLD OF SMILES, PEDIATRIC DENTISTRY LLC


Address: 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935
Phone: 5036269700

WORLD OF SMILES, PEDIATRIC DENTISTRY LLC (NPI# 1801183488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801183488
Entity Type Organization
Organization Name WORLD OF SMILES, PEDIATRIC DENTISTRY LLC
Practice Address 11790 Sw Barnes Rd Ste 280
Portland
OR 97225-5935
Practice Telephone 5036269700
Practice Fax Number 5036269772
Mailing Telephone 5036269700
Mailing Fax Number 5036269772
Enumeration Date 2011-07-05
Last Update Date 2011-07-07
Authorized Official Name DR. MICHELLE STAFFORD (DENTIST/OWNER)
Authorized Official Telephone 5036269700
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
D9074 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 218744 05
OR UNITED CONCORDIA 1604500 01

Office Location

Street Address 11790 SW BARNES RD STE 280
City PORTLAND
State OR
Zip Code 97225-5935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861988198 Devin Allen Bowyer Dentist 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935 2018-07-10
1366700627 Michelle Yang Dentist 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935 2012-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700374154 Fox Kids Dentistry & Orthodontics II Dentist 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 2018-05-01
1679924526 Pediatric Dentistry of Portland LLC Dentist 2811 Ne Wasco St, Portland, OR 97232-1771 2016-06-22
1265696629 Angela Dawn Boydston Dentist 2824 Ne Wasco St Ste 230, Portland, OR 97232-1772 2008-07-15
1972639623 Anastacia M. Whitman Dentist 4548 N Albina Ave, Portland, OR 97217-3010 2007-02-26
1114088705 Michael Biermann Dentist 5900 N Lombard St, Portland, OR 97203-4118 2006-12-13
1053408005 Peter John Lax Dentist 830 Ne 47th Ave, Portland, OR 97213-2212 2006-10-09
1376646901 Krista V Badger Dds PC Dentist 3839 Ne Tillamook St, Portland, OR 97212-5338 2006-09-07
1902827199 Karole H Wilson D.m.d., PC Dentist 9370 Sw Greenburg Rd Ste T, Portland, OR 97223-5408 2006-07-22
1083650436 Susan J Russett-collett Dentist 888 Brighton Ave, Portland, ME 04102-1004 2006-06-22
1336146307 Michael Charles Royse Dentist 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 2005-07-05
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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