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

NE 82nd Avenue Dental LLC

Organization Dental Clinic/Center · NPI 1700192184

NE 82nd Avenue Dental LLC is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2150 NE 82nd Ave
Portland, OR 97220-5607
Phone: (503) 254-0897
Fax: (503) 254-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D8506 (OR)
Dental Clinic/Center Taxonomy 261QD0000X · Licence D9389 (OR)
Dental Clinic/Center Taxonomy 261QD0000X · Licence D8961 (OR)

Record details

NPI number1700192184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Nichol — Office Manager · (503) 254-0897
NPI enumeratedAugust 24, 2010
Last updated in NPPESAugust 24, 2010
Mailing address2150 Ne 82nd Ave, Portland, OR 97220-5607

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