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GRESHAM DOWNTOWN DENTAL GROUP P.C. NPI 1659546547


NPI Information

NPI: 1659546547
Provider Name: GRESHAM DOWNTOWN DENTAL GROUP, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
320 NE 5TH ST
GRESHAM, OR
ZIP 97030
Phone: (503) 666-5484
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GRESHAM DOWNTOWN DENTAL GROUP, P.C. is a general practice dentist in Gresham, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GRESHAM DOWNTOWN DENTAL GROUP, P.C. NPI is 1659546547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 NE 5TH ST
GRESHAM, OR
ZIP 97030-308
Phone: (503) 666-5484
Fax: (503) 661-1069

The provider's authorized official is Trent Miles Westover .
The authorized official title is Dentist and has the following contact phone number (503) 666-5484.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6868OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHEROREGONTAX ID NUMBER FOR THE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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