Waggoner, Tesha Lynn

Waggoner, Tesha Lynn is an individual health care provider with primary practice located at 150 Se 3Rd Ave , Hillsboro OR 97123. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Waggoner, Tesha Lynn can be contacted via phone (503) 213-1257.

Contact Information

Primary practice address

150 Se 3Rd Ave Hillsboro OR 97123

Phone: (503) 213-1257

Fax: (503) 213-1258

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Dentist	122300000X	DTT 242	Hawaii
Dental Providers / Pediatric Dentistry	1223P0221X	D10820	Oregon

Profile Details

NPI number	1821403924
LBN Legal business name	Waggoner, Tesha Lynn
Credentials	Doctor of Dental Medicine (DMD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 26th, 2014
Last updated	Aug 27th, 2018 - about 8 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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