Ken W. Waddell, Dmd P.C. in Portland - General Practice
Ken W. Waddell, Dmd P.C. - NPI 1356530422
Ken W. Waddell, Dmd P.C. is a General Practice in Portland, Oregon. Ken W. Waddell, Dmd P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ken W. Waddell, Dmd P.C. is 1356530422. The last update date is 2007-10-15.
Ken W. Waddell, Dmd P.C.'s current location address is 15495 Sw Sequoia Pkwy, Portland, Oregon. You can contact this provider via phone number 5036848445. The mailing address for Ken W. Waddell, Dmd P.C. is 15495 Sw Sequoia Pkwy, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ken W. Waddell, Dmd P.C. |
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Address | 15495 Sw Sequoia Pkwy, Portland, Oregon |
Phone Number | 5036848445 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Waddell W Ken |
Credentials | DMD |
Telephone Number | 5036848445 |
NPI Number Detail
NPI Number | 1356530422 |
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Provider Enumeration Date | 2007-10-15 |
Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
Address | 15495 Sw Sequoia Pkwy |
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City | Portland |
State | Oregon (OR) |
Post Code | 972246100 |
Phone Number | 5036848445 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D5796 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Ken W. Waddell, Dmd P.C.'s unique identification number?
The Ken W. Waddell, Dmd P.C. has been assigned the NPI (National Provider Identifier) Number 1356530422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ken W. Waddell, Dmd P.C. is physically located?
The Ken W. Waddell, Dmd P.C. is physically situated at the following address: 15495 Sw Sequoia Pkwy, Portland, OR, 972246100.
What is Ken W. Waddell, Dmd P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Ken W. Waddell, Dmd P.C.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1356530422 assigned to Ken W. Waddell, Dmd P.C.?
The Ken W. Waddell, Dmd P.C. was issued its 1356530422 on 2007-10-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ken W. Waddell, Dmd P.C. last refreshed?
The information related to the Ken W. Waddell, Dmd P.C., including its address, specialty, and other relevant details, was last updated on 2007-10-15.
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