Beacon Oral and Maxillofacial Surgeons – Oral and Maxillofacial Surgery (Dentist), NPI 1417385857

Beacon Oral and Maxillofacial Surgeons is a healthcare provider. based in Gresham, Oregon. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. D8342 (OR). The NPI Number for Beacon Oral and Maxillofacial Surgeons is 1417385857

Main info

Organization
Name
Beacon Oral and Maxillofacial Surgeons
NPI
1417385857
Phone
(503) 665-7882
Address
24850 SE STARK ST STE 100
Authorized Official
DR. RUSSELL A LIEBLICK OWNER D.M.D.
Enumeration Date
22 October 2013
Last Update Date
22 October 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness80
Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Beacon Oral and Maxillofacial Surgeons

  • 24850 SE STARK ST STE 100

    GRESHAM, OR 970308317

    Phone: (503) 665-7882

    Fax: (503) 665-6983

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97030)

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Frequently asked questions

Can I use this page to confirm Beacon Oral and Maxillofacial Surgeons's NPI?
Yes. Beacon Oral and Maxillofacial Surgeons is listed with NPI 1417385857 in the public NPI dataset.
Does CMS list Beacon Oral and Maxillofacial Surgeons as active?
Yes — Beacon Oral and Maxillofacial Surgeons is active in the NPI listing used on this page.
What is Beacon Oral and Maxillofacial Surgeons's specialty?
The listing groups Beacon Oral and Maxillofacial Surgeons with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What address line appears for Beacon Oral and Maxillofacial Surgeons?
Beacon Oral and Maxillofacial Surgeons's geographic hint is Gresham, Oregon in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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