GLADSTONE FAMILY DENTISTRY NPI 1881860914

NPI Information

NPI: 1881860914
Provider Name: GLADSTONE FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1105 PORTLAND AVE
GLADSTONE, OR
ZIP 97027
Phone: (503) 657-3077
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GLADSTONE FAMILY DENTISTRY is a dental clinic center in Gladstone, OR. GLADSTONE FAMILY DENTISTRY NPI is 1881860914. The provider is registered as an organization entity type.

The provider's business location address is:

1105 PORTLAND AVE
GLADSTONE, OR
ZIP 97027-170
Phone: (503) 657-3077
Fax: (503) 655-5729

The provider's authorized official is Jeremy Kato .
The authorized official title is Managing Owner and has the following contact phone number (503) 657-3077.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.

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
1	261QD0000X	Clinic/Center	Dental	D8790	OREGON	No
2	261QD0000X	Clinic/Center	Dental	D6082	OREGON	Yes

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

NPI Synchronization or Removal

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