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

Dr. Serena Autumn Waterworth-West, DMD

Individual provider General Practice Dentistry · NPI 1043057334

Dr. Serena Autumn Waterworth-West, DMD is a General Practice Dentistry in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

387 NE 223rd Ave
Gresham, OR 97030-8554
Phone: (503) 491-5450
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12035 (OR)

Record details

NPI number1043057334
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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