Waggoner Dentistry Pc is a Pediatric Dental Clinic in Lake Oswego, Oregon. It is located at 15962 Boones Ferry Rd Ste 208, Lake Oswego, OR and its contact number is 503-292-9274. The authorized person for Waggoner Dentistry Pc is Dr. Tesha Waggoner
who is Owner of the clinic and their contact number is 503-292-9274. Other organizations associated with this clinic are Waggoner Dentistry Pc, Matthew M Sheppard D.m.d L.l.c.,
Waggoner Dentistry Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Waggoner Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Waggoner Dentistry Pc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 15962 Boones Ferry Rd Ste 208, Lake Oswego,
Oregon, 97035-4360 |
| Phone: | 503-292-9274 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Tesha Waggoner |
| Position: | Owner |
| Contact Number: | 503-292-9274 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Waggoner Dentistry Pc clinic are as mentioned below.
| NPI Number: | 1093646085 |
| NPI Enumeration Date: | 27 May, 2026 |
| NPI Last Update On: | 27 May, 2026 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Waggoner Dentistry Pc | Pediatric Dentistry | 1093646085 |
| Matthew M Sheppard D.m.d L.l.c. | General Practice Dentistry | 1255791117 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waggoner Dentistry Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Waggoner Dentistry Pc
5415 Sw Westgate Dr Ste 207,
Portland, Oregon |
| Zip: | 97221-2429 |
| Phone Number: | 503-292-9274 |
Patients can reach Waggoner Dentistry Pc at
15962 Boones Ferry Rd Ste 208, Lake Oswego, Oregon or can
call to book an appointment on 503-292-9274.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.