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

Bethany Family Dental PC

Organization General Practice Dentistry · NPI 1053857433

Bethany Family Dental PC is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4732 NW Bethany Blvd Ste G-2
Portland, OR 97229-9410
Phone: (503) 617-7384
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6857 (OR)

Record details

NPI number1053857433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Welin — Insurance Coordinator · (503) 617-7384
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017
Mailing address4732 Nw Bethany Blvd, Ste G-2, Portland, OR 97229-9410

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