# BITTNER DENTISTRY FOR KIDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710380886
- **Authorized official:** TRINITY E GEMMILL (OFFICE MANAGER)
- **Authorized official phone:** (503) 625-5437

## Contact information

- **Practice address:** 17680 SW HANDLEY ST, SUITE 201, SHERWOOD, OR 97140-9255
- **Practice address phone:** (503) 625-5437
- **Practice address fax:** (503) 625-5433
- **Mailing address:** 17680 SW HANDLEY ST, SUITE 201, SHERWOOD, OR 97140-9255
- **Mailing address phone:** (503) 625-5437
- **Mailing address fax:** (503) 625-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | D8900 | OR | Yes |
| 1223P0221X | Pediatric Dentistry | D9975 | OR | — |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 10/03/2014