Ken W. Waddell, DMD PC
Ken W. Waddell, DMD PC is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15495 SW Sequoia Pkwy Ste 120Portland, OR 97224-6100
Phone: (503) 684-8445
Show map & directions
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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 D5796 (OR) |
|---|
Record details
| NPI number | 1356530422 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ken Waddell — Owner · (503) 684-8445 |
| Other names | Dental Professional |
| NPI enumerated | October 15, 2007 |
| Last updated in NPPES | October 15, 2007 |
| Mailing address | 15495 Sw Sequoia Pkwy, Suite 120, Portland, OR 97224-6100 |
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