GATEWAY DENTAL CLINIC, PC
NPI 1295031813
Dentist - General Practice in Portland, OR

Active since January 28, 2011
10305 NE HALSEY ST, PORTLAND, OR 97220(503) 252-0048(503) 256-4041 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gateway Dental Clinic, Pc NPPES

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

GATEWAY DENTAL CLINIC, PC (NPI 1295031813) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since January 2011. The organization lists Josef Sedivy, President, as its authorized official.

NPPES Registry Identity

NPI1295031813
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGATEWAY DENTAL CLINIC, PC
Location Address10305 NE HALSEY STPortland, OR 97220-3954
Mailing Address10305 Ne Halsey StPortland, OR 97220-3954 · (503) 252-0048 · Fax (503) 256-4041
Fax(503) 256-4041
Organization SubpartNo
Authorized OfficialJosef SedivyPresident · (503) 252-0048
Enumeration DateJanuary 28, 2011
NPI 1295031813 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 · D7355
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.
10305 NE HALSEY ST, Portland, OR 97220

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

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

Dentist (General Practice)
10305 NE HALSEY ST
PORTLAND, OR 97220

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 Gateway Dental Clinic, PC's NPI number?

The NPI number for Gateway Dental Clinic, PC is 1295031813. It was assigned to this organization in the NPPES registry on January 28, 2011.

Where is Gateway Dental Clinic, PC located?

Gateway Dental Clinic, PC is located at 10305 NE Halsey St, Portland, OR 97220. The listed phone number is (503) 252-0048.

What is Gateway Dental Clinic, 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 Gateway Dental Clinic, PC was last updated on January 28, 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.