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MACADAM DENTAL
NPI 1386811719
Dentist - General Practice in Portland, OR

Active since May 14, 2008
5331 SW MACADAM AVE, SUITE 254, PORTLAND, OR 97239(503) 243-6111(503) 243-5201 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macadam Dental NPPES

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

MACADAM DENTAL (NPI 1386811719) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since May 2008. The organization lists Kevin R Morich, Dentist, as its authorized official.

NPPES Registry Identity

NPI1386811719
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMACADAM DENTAL
Location Address5331 SW MACADAM AVE, SUITE 254Portland, OR 97239-6104
Mailing Address5331 Sw Macadam Ave, Suite 254Portland, OR 97239-6104 · (503) 243-6111 · Fax (503) 243-5201
Phone(503) 243-6111
Fax(503) 243-5201
Organization SubpartNo
Authorized OfficialKevin R MorichDentist · (503) 243-6111
Enumeration DateMay 14, 2008
✔ NPI 1386811719 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 · D7954
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.
5331 SW MACADAM AVE, Portland, OR 97239
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. STUART MARK JACKSON LCSW
Social Worker (Clinical)
5331 SW MACADAM AVE, SUITE 363
PORTLAND, OR 97239
Multnomah County (503) 803-1250
EASTSIDE WELLNESS CENTER, LLC
Chiropractor
5331 SW MACADAM AVE, SUITE 105
PORTLAND, OR 97239
Multnomah County (503) 445-7999
CORPO SANO NUTRITION LLC
Nutritionist
5331 SW MACADAM AVE, SUITE 380
PORTLAND, OR 97239
Multnomah County (503) 894-9118
THOMAS MORAN PHD
Psychologist (Clinical)
5331 SW MACADAM AVE, SUITE 363
PORTLAND, OR 97239
Multnomah County (503) 227-4377
TERYL JAN CLENDENIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5331 SW MACADAM AVE, SUITE 209
PORTLAND, OR 97239
Multnomah County (503) 567-1062
OSTEOPATHIC ADVANTAGE
General Practice
5331 SW MACADAM AVE, SUITE 380
PORTLAND, OR 97239
Multnomah County (503) 230-2501
JODI KIRSTEN MORICH D.M.D.
Dentist
5331 SW MACADAM AVE, SUITE 254
PORTLAND, OR 97239
Multnomah County (503) 243-6111
ERICA JOHANNA LIEPELT OTR, CHT
Occupational Therapist (Hand)
5331 SW MACADAM AVE, SUITE 277
PORTLAND, OR 97239
Multnomah County (503) 229-8300

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 Macadam Dental's NPI number?

The NPI number for Macadam Dental is 1386811719. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is Macadam Dental located?

Macadam Dental is located at 5331 SW Macadam Ave Suite 254, Portland, OR 97239. The listed phone number is (503) 243-6111.

What is Macadam Dental'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 Macadam Dental was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.