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

Southeast Dental PC

Organization Dentist · NPI 1700982451

Southeast Dental PC is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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

12661 SE Powell D
Portland, OR 97236-3900
Phone: (503) 760-7983
Fax: (503) 762-2379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6838 (OR)

Record details

NPI number1700982451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osama Betrous — Dentist · (503) 760-7983
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12661 Se Powell, D, Portland, OR 97236-3400

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