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ROOTS DENTAL LLC
NPI 1205336112
Dentist - General Practice in Portland, OR

Active since February 16, 2018
3620 SE POWELL BLVD # 200, PORTLAND, OR 97202(716) 601-9468 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roots Dental Llc NPPES

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

ROOTS DENTAL LLC (NPI 1205336112) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since February 2018. The organization lists Ryan Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205336112
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROOTS DENTAL LLC
Location Address3620 SE POWELL BLVD # 200Portland, OR 97202-1880
Mailing Address3620 Se Powell Blvd # 200Portland, OR 97202-1880
Phone(716) 601-9468
Organization SubpartNo
Authorized OfficialRyan SmithCeo · (716) 601-9468
Enumeration DateFebruary 16, 2018
✔ NPI 1205336112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · 9728
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.
3620 SE POWELL BLVD # 200, Portland, OR 97202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Roots Dental LLC's NPI number?

The NPI number for Roots Dental LLC is 1205336112. It was assigned to this organization in the NPPES registry on February 16, 2018.

Where is Roots Dental LLC located?

Roots Dental LLC is located at 3620 SE Powell Blvd # 200, Portland, OR 97202. The listed phone number is (716) 601-9468.

What is Roots Dental LLC's specialty?

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

What insurance does Roots Dental LLC accept?

Health plans from UnitedHealthcare list Roots Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roots Dental LLC was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.