OrganizationActive
Dylan P. Booth, DDS, PC
NPI 1174108567 · Dental Clinic/Center · Portland, OR
Dylan P. Booth, DDS, PC is a Dental Clinic/Center organization in Portland, OR (NPI 1174108567).
Provider details
- NPI number
- 1174108567
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dylan Booth, Owner/Dentist(925) 786-1221
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2505 Se Hawthorne Blvd
Portland, OR 97214-3926
Phone: (503) 232-3102
Street-level locationGet directions
Mailing address
2505 Se Hawthorne Blvd
Portland, OR 97214-3926
Other names (DBA / former)
- Doing business as
- Friendly Smiles Dental
Registry dates
- Enumerated
- 2021-03-17
- Last updated
- 2021-03-17
- Certified
- 2021-03-17
Frequently asked questions
- What is Dylan P. Booth, DDS, PC's NPI number?
- Dylan P. Booth, DDS, PC's National Provider Identifier (NPI) is 1174108567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dylan P. Booth, DDS, PC?
- Dylan P. Booth, DDS, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dylan P. Booth, DDS, PC located?
- Dylan P. Booth, DDS, PC's practice location on file with NPPES is 2505 Se Hawthorne Blvd, Portland, OR 97214-3926.
- What is Dylan P. Booth, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Dylan P. Booth, DDS, PC is (503) 232-3102.
- Who is the authorized official for Dylan P. Booth, DDS, PC?
- The authorized official listed on Dylan P. Booth, DDS, PC's NPPES record is Dylan Booth, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dylan P. Booth, DDS, PC's NPI active?
- Yes — Dylan P. Booth, DDS, PC's NPI (1174108567) is active in the NPPES registry as of the last update on 2021-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.