BD-GRESHAM, LLC
NPI 1083393920
Clinic/Center - Dental in Gresham, OR

Active since July 17, 2023
1700 NW CIVIC DR STE 320, GRESHAM, OR 97030(503) 666-2515 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bd-gresham, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BD-GRESHAM, LLC (NPI 1083393920), doing business as Brookside Dental-gresham, is a healthcare organization registered as a dental in Gresham, Oregon and active in the NPI registry since July 2023. The organization lists Debbie Lopez, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1083393920
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBD-GRESHAM, LLC
Location Address1700 NW CIVIC DR STE 320Gresham, OR 97030-3774
Mailing Address1700 Nw Civic Dr Ste 320Gresham, OR 97030-3774 · (503) 666-2515
Organization SubpartNo
Authorized OfficialDebbie LopezRegional Manager · (503) 914-8221
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
NPI 1083393920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1700 NW CIVIC DR STE 320, Gresham, OR 97030

Other Names 1

Doing Business AsBrookside Dental-gresham

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1700 NW CIVIC DR STE 320
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bd-Gresham, LLC's NPI number?

The NPI number for Bd-Gresham, LLC is 1083393920. It was assigned to this organization in the NPPES registry on July 17, 2023. The provider is doing business as Brookside Dental-Gresham.

Where is Bd-Gresham, LLC located?

Bd-Gresham, LLC is located at 1700 NW Civic Dr Ste 320, Gresham, OR 97030. The listed phone number is (503) 666-2515.

What is Bd-Gresham, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bd-Gresham, LLC was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.