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

Powell Dental Specialties

Organization Endodontics · NPI 1306183074

Powell Dental Specialties is an Endodontics in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013

Practice location Address checks out

12661 SE Powell Blvd Ste D
Portland, OR 97236-3400
Phone: (503) 760-1880
Fax: (503) 775-6849
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D7799 (OR)

Record details

NPI number1306183074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Bassili — Endodontist · (503) 432-3997
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013
Mailing address12661 Se Powell Blvd Ste D, Portland, OR 97236-3400

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