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

Beaverton Dental Group PC

Organization General Practice Dentistry · NPI 1093110975

Beaverton Dental Group PC is a General Practice Dentistry in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12755 SW 2nd St
Beaverton, OR 97005-2767
Phone: (503) 644-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7463 (OR)

Record details

NPI number1093110975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lee — Owner · (503) 644-1126
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014
Mailing address12755 Sw 2nd St, Beaverton, OR 97005-2767

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