Unknown Individual – General Practice Dentistry, NPI 1750388807
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2428, Northeast Division Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States
GRESHAM, OR 970306020
Phone: (503) 661-7800
Fax: (503) 667-5090
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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