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

Icp Teledentistry

Organization Public Health Dentistry · NPI 1225771108

Icp Teledentistry is a Public Health Dentistry in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
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Practice location Address checks out

3439 SE Hawthorne Blvd # 906
Portland, OR 97214-5048
Phone: (425) 494-0883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X
Dental Hygienist Taxonomy 124Q00000X
Dental Therapist Taxonomy 125J00000X
Dental Assistant Taxonomy 126800000X
Dental Clinic/Center Taxonomy 261QD0000X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1225771108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandan Sharma — Hod · (425) 494-0883
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address3439 Se Hawthorne Blvd # 906, Portland, OR 97214-5048

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