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

Portland Modern Dentistry, PC

Organization Dentist · NPI 1598223919

Portland Modern Dentistry, PC is a Dentist in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5175 NE Martin Luther King Blvd Ste 110
Portland, OR 97211-3233
Phone: (503) 406-1108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1598223919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Todd — Owner Dentist · (714) 845-8500
Other names Portland Modern Dentistry
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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