OrganizationActive
West Tabor Dental LLC
NPI 1629936679 · General Practice Dentistry · Portland, OR
West Tabor Dental LLC is a General Practice Dentistry organization in Portland, OR (NPI 1629936679).
Provider details
- NPI number
- 1629936679
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tracy Avritt, Office Manager(503) 232-8847
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5043 Se Hawthorne Blvd
Portland, OR 97215-3255
Phone: (503) 232-8847
Fax: (503) 232-6890
Street-level locationGet directions
Mailing address
5043 Se Hawthorne Blvd
Portland, OR 97215-3255
Registry dates
- Enumerated
- 2026-01-09
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is West Tabor Dental LLC's NPI number?
- West Tabor Dental LLC's National Provider Identifier (NPI) is 1629936679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Tabor Dental LLC?
- West Tabor Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is West Tabor Dental LLC located?
- West Tabor Dental LLC's practice location on file with NPPES is 5043 Se Hawthorne Blvd, Portland, OR 97215-3255.
- What is West Tabor Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for West Tabor Dental LLC is (503) 232-8847.
- Who is the authorized official for West Tabor Dental LLC?
- The authorized official listed on West Tabor Dental LLC's NPPES record is Tracy Avritt, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Tabor Dental LLC's NPI active?
- Yes — West Tabor Dental LLC's NPI (1629936679) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.