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GRESHAM DG LLC
NPI 1184362329
Clinic/Center - Dental in Gresham, OR

Active since May 26, 2022
455 WEST POWELL BLVD, GRESHAM, OR 97030(503) 661-9696 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gresham Dg Llc NPPES

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

GRESHAM DG LLC (NPI 1184362329) is a healthcare organization registered as a dental in Gresham, Oregon and active in the NPI registry since May 2022. The organization lists Ryan Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1184362329
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRESHAM DG LLC
Location Address455 WEST POWELL BLVDGresham, OR 97030
Mailing Address455 West Powell BlvdGresham, OR 97030
Phone(503) 661-9696
Organization SubpartNo
Authorized OfficialRyan SmithManager · (971) 708-9540
Enumeration DateMay 26, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1184362329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
455 WEST POWELL BLVD, Gresham, OR 97030
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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 Gresham Dg LLC's NPI number?

The NPI number for Gresham Dg LLC is 1184362329. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Gresham Dg LLC located?

Gresham Dg LLC is located at 455 West Powell Blvd, Gresham, OR 97030. The listed phone number is (503) 661-9696.

What is Gresham Dg 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 Gresham Dg LLC was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.