OrganizationActive
Keith E Watson DDS PC
NPI 1114194818 · General Practice Dentistry · Portland, OR
Provider details
- NPI number
- 1114194818
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keith Watson, Owner(503) 235-3002
- License
- 8220 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1832 N Lombard St
Portland, OR 97217-5662
Phone: (503) 235-3002
Fax: (503) 235-0084
Street-level locationGet directions
Mailing address
1832 N Lombard St
Portland, OR 97217-5662
Other names (DBA / former)
- Doing business as
- North Portland Dental Care
Registry dates
- Enumerated
- 2008-05-12
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.