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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEN W. WADDELL, DMD P.C.

Active Organization

KEN W. WADDELL, DMD P.C. is a General Dentistry organization located in PORTLAND, Oregon. NPI 1356530422 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORTLAND, OR

Registration Details

NPI Number
1356530422
Provider Type
Organization
NPI Issued
Oct 15, 2007 (18.847932846244 yrs)
Last Updated
Oct 15, 2007
License
D5796 (OR)

Practice Information

Address
15495 SW SEQUOIA PKWY
SUITE 120
PORTLAND, OR, 972246100
Browse OR providers · Browse ZIP 97224
Phone
5036848445
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.