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DR. GREGORY PEARY STAFFORD DDS
NPI 1396751475
Dentist - Pediatric Dentistry in Portland, OR

Active since July 31, 2006
10102 NE GLISAN ST, PORTLAND, OR 97220(503) 257-5959(503) 408-1472 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Peary Stafford Dds NPPES

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

DR. GREGORY PEARY STAFFORD DDS (NPI 1396751475) is an individual pediatric dentistry provider in Portland, Oregon, licensed in Oregon (D6558) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396751475
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. GREGORY PEARY STAFFORDCredential: DDS
Location Address10102 NE GLISAN STPortland, OR 97220-4456
Mailing Address6325 Sw Elm AveBeaverton, OR 97005-4218 · (503) 626-7826
Phone(503) 257-5959
Fax(503) 408-1472
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396751475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in OR · D6558✔ Licensed in WA · DEOOOO6891
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.
10102 NE GLISAN ST, Portland, OR 97220
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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.

LEANNA GRANDI DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Dentist (General Practice)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (800) 813-2000
YESICA LEON
Dentist (Pediatric Dentistry)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
MRS. MARLENE JOANNE CRANK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 275-5959
LEAH DIXON DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MALVINA SHULIK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 286-6868
JESSICA GIANG RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (502) 286-6868
DR. DAVID M. TEETER DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959

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 Gregory Stafford's NPI number?

The NPI number for Gregory Stafford is 1396751475. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Gregory Stafford located?

Gregory Stafford practices at 10102 NE Glisan St, Portland, OR 97220. The listed phone number is (503) 257-5959.

What is Gregory Stafford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gregory Stafford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.