OrganizationActive
Pediatric Dentistry of Portland LLC
NPI 1679924526 · Pediatric Dentistry · Portland, OR
Pediatric Dentistry of Portland LLC is a Pediatric Dentistry organization in Portland, OR (NPI 1679924526).
Provider details
- NPI number
- 1679924526
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Noel Larsen, Owner(503) 284-5678
- License
- D6853 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2811 Ne Wasco St
Portland, OR 97232-1771
Phone: (503) 284-5678
Street-level locationGet directions
Mailing address
2811 Ne Wasco St
Portland, OR 97232-1771
Registry dates
- Enumerated
- 2016-06-22
- Last updated
- 2016-06-22
Frequently asked questions
- What is Pediatric Dentistry of Portland LLC's NPI number?
- Pediatric Dentistry of Portland LLC's National Provider Identifier (NPI) is 1679924526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Portland LLC?
- Pediatric Dentistry of Portland LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Portland LLC located?
- Pediatric Dentistry of Portland LLC's practice location on file with NPPES is 2811 Ne Wasco St, Portland, OR 97232-1771.
- What is Pediatric Dentistry of Portland LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Portland LLC is (503) 284-5678.
- Who is the authorized official for Pediatric Dentistry of Portland LLC?
- The authorized official listed on Pediatric Dentistry of Portland LLC's NPPES record is Noel Larsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Portland LLC's NPI active?
- Yes — Pediatric Dentistry of Portland LLC's NPI (1679924526) is active in the NPPES registry as of the last update on 2016-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.