Tesha Waggoner DMD PC
Tesha Waggoner DMD PC is a Pediatric Dentistry in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5415 SW Westgate Dr Ste 207Portland, OR 97221
Phone: (503) 292-9274
Fax: (503) 445-0043
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1790558997 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tesha Waggoner — Owner · (503) 292-9274 |
| NPI enumerated | October 31, 2023 |
| Last updated in NPPES | October 31, 2023 |
| Mailing address | 5415 Sw Westgate Dr., Suite 207, Portland, OR 97221 |
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