Northwoods Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHWOODS DENTAL, LLC

Practice address

3505 SE 36TH Ave
Portland, OR 97202-1862

Phone

(503) 235-7181

NPI assigned

Nov 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Margaret Falbo, DDSNPI 1851845036

Title

Owner/DDS

Phone

(651) 470-7304

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Margaret Falbo, DDS

  • Dentist
  • Omaha, NE
  • NPI 1851845036
  NPD Authorized official
• Denise Marie Walthour, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1750375069
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1184334377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 N WABASH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171219",
            "telephone_number": "402-301-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 SE 36TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021862",
            "telephone_number": "503-235-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "FALBO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "651-470-7304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Women'S Clinic, PC
• Northwestern Neurological Assoc PC
• Amanda Leigh Norton, ND
• Doreen Olivia Norton, LCSW
• Maren Louise Norton, LMFT CADC
• Megan Norton, LMT
• Nina Norton

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.