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

Lake Grove Dental

Organization General Practice Dentistry · NPI 1528235314

Lake Grove Dental is a General Practice Dentistry in Lake Oswego, Oregon. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4055 Mercantile Dr Ste 150
Lake Oswego, OR 97035-2633
Phone: (503) 636-3641
Fax: (503) 765-5310
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1528235314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Maurer — Office Manager · (503) 636-3641
Other names Lake Grove Dental; Lake Grove Dental; Gordon L Wiltshire, Jr, Dmd, Pc
NPI enumeratedMay 12, 2008
Last updated in NPPESAugust 5, 2025
Mailing address4055 Mercantile Dr, Suite 150, Lake Oswego, OR 97035-2633

Other providers in Lake Oswego