OrganizationActive
Tlc Dentistry
NPI 1356604516 · Dentist · Portland, OR
Provider details
- NPI number
- 1356604516
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Tlc Dentistry
- Organization subpart
- Yes
- Authorized official
- Andrew Phan, Doctor of Dental Medicine. Owner.(503) 774-3546
- License
- D6465 (OR)
Specialties & taxonomies
Dental Providers
Practice location
6919 S.e. 82nd Ave. Ste 103
Portland, OR 97266
Phone: (503) 774-3546
Fax: (503) 774-3547
Approximate (ZIP-level) locationGet directions
Mailing address
6919 S.e. 82nd Ave. Suite 103
Portland, OR 97266
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.