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

Andrew Charles Lane, DMD

Individual provider Pediatric Dentistry · NPI 1891257747

Andrew Charles Lane, DMD is a Pediatric Dentistry in Portland, Oregon. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 616 6th St, Bremerton, WA 98337-1420 — (360) 377-3776

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D11061 (OR)
Dentist Taxonomy 122300000X · Licence DE61077121 (WA)
Dentist Taxonomy 122300000X · Licence D11061 (OR)

Record details

NPI number1891257747
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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