ADVANCED DENTAL CLINIC
NPI 1528546330
Clinic/Center - Dental in Portland, OR

Active since August 02, 2018
4707 NE 102ND AVE STE A, PORTLAND, OR 97220(971) 867-2956 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dental Clinic NPPES

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

ADVANCED DENTAL CLINIC (NPI 1528546330) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since August 2018. The organization lists Pavel Ivanovich Saranchuk, Manager/authorized Signer, as its authorized official.

NPPES Registry Identity

NPI1528546330
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHRISTOPHER BRADY DMD LLC
Location Address4707 NE 102ND AVE STE APortland, OR 97220-3393
Mailing Address4707 Ne 102nd Ave Ste APortland, OR 97220-3393 · (971) 867-2956
Organization SubpartNo
Authorized OfficialPavel Ivanovich SaranchukManager/authorized Signer · (503) 902-4300
Enumeration DateAugust 2, 2018
NPI 1528546330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OR · D10185
4707 NE 102ND AVE STE A, Portland, OR 97220

Other Names 1

Doing Business AsAdvanced Dental Clinic

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 Christopher Brady Dmd LLC's NPI number?

The NPI number for Christopher Brady Dmd LLC is 1528546330. It was assigned to this organization in the NPPES registry on August 2, 2018. The provider is doing business as Advanced Dental Clinic.

Where is Christopher Brady Dmd LLC located?

Christopher Brady Dmd LLC is located at 4707 NE 102nd Ave Ste A, Portland, OR 97220. The listed phone number is (971) 867-2956.

What is Christopher Brady Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Christopher Brady Dmd LLC was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.