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

Lifesmile Dental Group

Organization General Practice Dentistry · NPI 1144416959

Lifesmile Dental Group 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

Practice location Address checks out

13305 NW Cornell Rd Ste A
Portland, OR 97229-5817
Phone: (503) 644-5433
Fax: (503) 633-5436
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 D7362 (OR)

Record details

NPI number1144416959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Hicks — President · (503) 644-5433
NPI enumeratedSeptember 15, 2007
Last updated in NPPESSeptember 15, 2007
Mailing address13305 Nw Cornell Rd, Suite A, Portland, OR 97229-5817

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