Learn more about pain-free shots at Pine Tree Pediatric Dentistry.
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SCHEDULE APPOINTMENT

Contact us!

Ready to book an appointment? Have questions about your child’s dental health? Reach out to us and we will get back to you as soon as possible!

Dr. Tesha Waggoner DMD

Hours of Operation: Monday – Thursday from 7:30am – 4:30pm

info@pinetreepd.com

503.292.9274

5415 SW Westgate Dr #207
Portland, OR 97221

Your Child's Name(Required)
MM slash DD slash YYYY
Gender
Parent or Guardian's Name(Required)
Address
Is your child's insurance through an employer or through Oregon Health Plan (OHP)?
If insurance is through an employer.
If insurance is through an employer
Is this your child's first visit to the dentist?(Required)
If no, please have records sent to info@pinetreepd.com
Interpreter needed?
Please list any specific dental concerns or any medical concerns your child may have.
How did you hear about our practice?(Required)