DR. TESS REBECKA GLADSTONE D.D.S.
NPI 1356720908
Dentist - Pediatric Dentistry in Keizer, OR

Active since May 28, 2015
4817 RIVER RD N, KEIZER, OR 97303(503) 874-4560 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2018, Jul 18, 2018 (2 updates tracked since 2018).

About Dr. Tess Rebecka Gladstone D.d.s. NPPES

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

DR. TESS REBECKA GLADSTONE D.D.S. (NPI 1356720908) is an individual pediatric dentistry provider in Keizer, Oregon, licensed in Oregon (D10790) and active in the NPI registry since May 2015. She maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1356720908
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TESS REBECKA GLADSTONECredential: D.D.S.
Location Address4817 RIVER RD NKeizer, OR 97303
Mailing Address4817 River Rd NKeizer, OR 97303-4537 · (503) 874-4560
Sole ProprietorYes
Enumeration DateMay 28, 2015
Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration
NPI 1356720908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in OR · D10790
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4817 RIVER RD N, Keizer, OR 97303

Secondary Practice Location 1

Location 113420 Jamaica Ave, Third FloorJamaica, NY 11418-2619 · Phone (718) 206-6980

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Dental)
4817 RIVER RD N
KEIZER, OR 97303
Dentist (Pediatric Dentistry)
4817 RIVER RD N
KEIZER, OR 97303
Dentist (Pediatric Dentistry)
4817 RIVER RD N
KEIZER, OR 97303
Dentist
4817 RIVER RD N
KEIZER, OR 97303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356720908, enumerated as an "individual" on May 28, 2015.

The provider is located at 4817 RIVER RD N KEIZER, OR 97303 and the phone number is (503) 874-4560.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.