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Active NPI 1104142900 Individual Practitioner Male Practitioner

Dr. David Jacob Raphael , DDS

Dentist - Pediatric Dentistry • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. David Raphael, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Portland, OR. Practice services are available at 2323 NW WESTOVER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2323 Nw Westover Rd

Portland, OR 972103524

Telephone 5038932889
Associated Practice Facility / Clinic
🏢 Portland Children's Dentistry, Llc Facility NPI 1225458441

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Portland, OR (180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D9732

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License WA DE 60257230

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1023334331

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2016

Registered at 2323 NW WESTOVER RD, PORTLAND, OR 972103524 (Tel: 5038932889)

📍
Updated Business Mailing Address October 19, 2016

Registered at 2323 NW WESTOVER RD, PORTLAND, OR 972103524 (Tel: 5038932889)

👤
Provider Name / Credentials Updated October 19, 2016

Recorded as DAVID RAPHAEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Dentist (License #D9732 in OR)

🟢
Initial NPI Registration & Enumeration April 19, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104142900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2010
Last Update: October 19, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2323 Nw Westover Rd

Portland, OR 972103524

Phone: 5038932889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.