OrganizationActive
Tesha Waggoner DMD PC
NPI 1790558997 · Pediatric Dentistry · Portland, OR
Tesha Waggoner DMD PC is a Pediatric Dentistry organization in Portland, OR (NPI 1790558997).
Provider details
- NPI number
- 1790558997
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tesha Waggoner, Owner(503) 292-9274
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5415 Sw Westgate Dr.
Suite 207
Portland, OR 97221
Phone: (503) 292-9274
Fax: (503) 445-0043
Approximate (ZIP-level) locationGet directions
Mailing address
5415 Sw Westgate Dr.
Portland, OR 97221
Registry dates
- Enumerated
- 2023-10-31
- Last updated
- 2023-10-31
Frequently asked questions
- What is Tesha Waggoner DMD PC's NPI number?
- Tesha Waggoner DMD PC's National Provider Identifier (NPI) is 1790558997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tesha Waggoner DMD PC?
- Tesha Waggoner DMD PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Tesha Waggoner DMD PC located?
- Tesha Waggoner DMD PC's practice location on file with NPPES is 5415 Sw Westgate Dr., Portland, OR 97221.
- What is Tesha Waggoner DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Tesha Waggoner DMD PC is (503) 292-9274.
- Who is the authorized official for Tesha Waggoner DMD PC?
- The authorized official listed on Tesha Waggoner DMD PC's NPPES record is Tesha Waggoner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tesha Waggoner DMD PC's NPI active?
- Yes — Tesha Waggoner DMD PC's NPI (1790558997) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.