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COLASURDODMD LLC
NPI 1275259418
Dentist - General Practice in Portland, OR

Active since October 19, 2022
833 SW 11TH AVE STE 723, PORTLAND, OR 97205(503) 223-7661 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Colasurdodmd Llc NPPES

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

COLASURDODMD LLC (NPI 1275259418), doing business as Vincent Colasurdo, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since October 2022. The organization lists Vincent Colasurdo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275259418
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLASURDODMD LLC
Location Address833 SW 11TH AVE STE 723Portland, OR 97205-2121
Mailing Address4969 Sw 31st DrPortland, OR 97239-1239 · (503) 680-2972
Phone(503) 223-7661
Organization SubpartNo
Authorized OfficialVincent ColasurdoDentist · (503) 680-2972
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1275259418 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.
833 SW 11TH AVE STE 723, Portland, OR 97205
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Other Names 1

Doing Business AsVincent Colasurdo

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

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 Colasurdodmd LLC's NPI number?

The NPI number for Colasurdodmd LLC is 1275259418. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is doing business as Vincent Colasurdo.

Where is Colasurdodmd LLC located?

Colasurdodmd LLC is located at 833 SW 11th Ave Ste 723, Portland, OR 97205. The listed phone number is (503) 223-7661.

What is Colasurdodmd LLC'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 Colasurdodmd LLC was last updated on October 19, 2022. 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.