Melissa J. Wages, DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10347 Issued in OR

Legal business name

MELISSA J. WAGES, DDS PC

Practice address

7471 SW Barbur Blvd
Portland, OR 97219

Phone

(503) 244-9073

Fax

(503) 244-4086

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Melissa J Wages, DDS

Title

Owner

Phone

(503) 244-9073

Specialties & licenses 1

Addresses

Other names 1

• SW Portland Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Jacqueline Bourdette, D.M.D.

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1538166517
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1205101490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-244-9073",
            "fax_number": "503-244-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-244-9073",
            "fax_number": "503-244-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA J. WAGES, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-9073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "10347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SW Portland Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SW Portland Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meliora Clinic
• Melisa Alvarez Therapy LLC
• Melissa Bensink, LLC
• Melissa Eshelman, MD, LLC
• Melissa Girgis Nutrition
• Melissa M. Beadnell D.M.D. P.C.
• Melissa Miesen, PC
• Melissa Yeary LPC, LLC
• Carole Anne Melkonian, LAC, RN
• Marie Mellberg, MS, CRC, LPC

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.