SUMMIT DENTAL
NPI 1225326697
Dentist - General Practice in Portland, OR

Active since July 19, 2011
973 NW SALTZMAN RD, PORTLAND, OR 97229(503) 644-7202 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Dental NPPES

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

SUMMIT DENTAL (NPI 1225326697) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since July 2011. The organization lists Bradley Hagedorn, President, as its authorized official.

NPPES Registry Identity

NPI1225326697
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRAD R HAGEDORN DMD PC
Location Address973 NW SALTZMAN RDPortland, OR 97229-5647
Mailing Address973 Nw Saltzman RdPortland, OR 97229-5647 · (503) 644-7202
Organization SubpartNo
Authorized OfficialBradley HagedornPresident · (503) 644-7202
Enumeration DateJuly 19, 2011
NPI 1225326697 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.
973 NW SALTZMAN RD, Portland, OR 97229

Other Names 1

Doing Business AsSummit Dental

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist
973 NW SALTZMAN RD
PORTLAND, OR 97229
Dentist (General Practice)
973 NW SALTZMAN RD
PORTLAND, OR 97229
Clinic/Center (Dental)
973 NW SALTZMAN RD
PORTLAND, OR 97229

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 Brad R Hagedorn Dmd PC's NPI number?

The NPI number for Brad R Hagedorn Dmd PC is 1225326697. It was assigned to this organization in the NPPES registry on July 19, 2011. The provider is doing business as Summit Dental.

Where is Brad R Hagedorn Dmd PC located?

Brad R Hagedorn Dmd PC is located at 973 NW Saltzman Rd, Portland, OR 97229. The listed phone number is (503) 644-7202.

What is Brad R Hagedorn Dmd 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 Brad R Hagedorn Dmd PC was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.