# DENTISTRY FOR CHILDREN, P.C.

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

## Provider details

- **NPI number:** 1790999316
- **Authorized official:** MR. ALLAN RUSSELL PIKE D.D,S., M.S. (PRESIDENT)
- **Authorized official phone:** (503) 297-1711

## Contact information

- **Practice address:** 5440 SW WESTGATE DR, SUITE 380, PORTLAND, OR 97221-2420
- **Practice address phone:** (503) 297-1711
- **Practice address fax:** (503) 297-2152
- **Mailing address:** 5440 SW WESTGATE DR, SUITE 380, PORTLAND, OR 97221-2420
- **Mailing address phone:** (503) 297-1711
- **Mailing address fax:** (503) 297-2152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4162 | OR | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020
