OrganizationActive
Pac Dental
NPI 1679696652 · General Practice Dentistry · Portland, OR
Pac Dental is a General Practice Dentistry organization in Portland, OR (NPI 1679696652).
Provider details
- NPI number
- 1679696652
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Justin Lee, President(503) 788-1415
- License
- D8646 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2850 Se 82nd Ave
Suite 8
Portland, OR 97266-1599
Phone: (503) 788-1415
Street-level locationGet directions
Mailing address
2850 Se 82nd Ave
Portland, OR 97266-1599
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pac Dental's NPI number?
- Pac Dental's National Provider Identifier (NPI) is 1679696652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pac Dental?
- Pac Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pac Dental located?
- Pac Dental's practice location on file with NPPES is 2850 Se 82nd Ave, Portland, OR 97266-1599.
- What is Pac Dental's phone number?
- The practice phone number listed in the NPPES registry for Pac Dental is (503) 788-1415.
- Who is the authorized official for Pac Dental?
- The authorized official listed on Pac Dental's NPPES record is Justin Lee, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pac Dental's NPI active?
- Yes — Pac Dental's NPI (1679696652) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.