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

Pacific Dental Group

Organization General Practice Dentistry · NPI 1568113488

Pacific Dental Group is a General Practice Dentistry in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5707 N Interstate Ave
Portland, OR 97217-4606
Phone: (503) 286-3200
Fax: (503) 286-2033
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 number1568113488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravy Young — Office Manager · (503) 286-3200
Other names Pacific Dental Group
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address5707 N Interstate Ave, Portland, OR 97217-4606

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