GRANT PARK DENTISTRY
NPI 1205220209
Dentist - General Practice in Portland, OR

Q: What is Grant Park Dentistry, PC's NPI number?

The NPI number for Grant Park Dentistry, PC is 1205220209. It was assigned to this organization in the NPPES registry on March 27, 2015. The provider is doing business as Grant Park Dentistry.

Q: What is Grant Park Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 27, 2015

3280 NE BROADWAY, PORTLAND, OR 97232(503) 282-0521(503) 282-1084 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grant Park Dentistry NPPES

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

GRANT PARK DENTISTRY (NPI 1205220209) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since March 2015. The organization lists Todd R Cockrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1205220209

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameGRANT PARK DENTISTRY, PC

Location Address3280 NE BROADWAYPortland, OR 97232

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(503) 282-0521

Fax(503) 282-1084

Organization SubpartNo

Authorized OfficialTodd R CockrellOwner · (503) 282-0521

Enumeration DateMarch 27, 2015

✔ NPI 1205220209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3280 NE BROADWAY, Portland, OR 97232

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Other Names 1

Doing Business AsGrant Park Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Grant Park Dentistry, PC's NPI number?

The NPI number for Grant Park Dentistry, PC is 1205220209. It was assigned to this organization in the NPPES registry on March 27, 2015. The provider is doing business as Grant Park Dentistry.

Where is Grant Park Dentistry, PC located?

Grant Park Dentistry, PC is located at 3280 NE Broadway, Portland, OR 97232. The listed phone number is (503) 282-0521.

What is Grant Park Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Grant Park Dentistry, PC was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.