PDX Center for Dentistry
View and complete PDX Center for Dentistry's new patient forms


(503) 928-5903
511 SW 10th Ave Suite 1101 Portland, OR 97205
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Patient Screening Form Patient Intake Form
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¡El Doctor habla español!
Por favor llámenos al 503-928-5903 para hacer una cita con Doctor Seo.

Insurance and Payment Programs


We accept all major insurances but are In-network with the following:
•  Ameritas
•  Blue Cross/Blue Shield
•  MODA/ODS
•  Delta Dental (Premier Provider)
•  Lincoln Financial
•  MetLife
•  Pacific Source
•  Principal
•  Standard
•  United HealthCare

We also accept Care Credit and Springstone as patient financial options.
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PDX Center for Dentistry

Download new patient paperwork.
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Samuel Seo, DMD

PDX Center for Dentistry


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PDX Center for Dentistry | www.pdxdentistry.com | (503) 928-5903
511 SW 10th Ave, Suite 1101, Portland, OR 97205