OrganizationActive
Pediatric Dental Group
NPI 1972770097 · Pediatric Dentistry · Portland, OR
Provider details
- NPI number
- 1972770097
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Cavano, Dentist(503) 292-9274
- License
- D7977 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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 97221-2409
Phone: (503) 292-9274
Fax: (503) 292-2337
Approximate (ZIP-level) locationGet directions
Mailing address
5415 Sw Westgate Dr
Portland, OR 97221-2409
Registry dates
- Enumerated
- 2008-05-08
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.