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ROOTS DENTAL BROADWAY LLC
NPI 1568977817
Clinic/Center - Dental in Portland, OR

Active since December 08, 2017
2525 NE BROADWAY ST STE 200, PORTLAND, OR 97232(503) 234-7870 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roots Dental Broadway Llc NPPES

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

ROOTS DENTAL BROADWAY LLC (NPI 1568977817), doing business as Ne Dental Associates, is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since December 2017. The organization lists Ryan Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1568977817
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROOTS DENTAL BROADWAY LLC
Location Address2525 NE BROADWAY ST STE 200Portland, OR 97232-3527
Mailing Address2525 Ne Broadway St Ste 200Portland, OR 97232-3527
Phone(503) 234-7870
Organization SubpartNo
Authorized OfficialRyan SmithManager · (503) 234-7870
Enumeration DateDecember 8, 2017
✔ NPI 1568977817 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 · D10629
2525 NE BROADWAY ST STE 200, Portland, OR 97232
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Other Names 1

Former Legal Business NameNe Dental Associates

Other Providers at the Same Location NPPES

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

PAUL ERICH ORTIZ DMD
Dentist (General Practice)
2525 NE BROADWAY ST STE 200
PORTLAND, OR 97232
Multnomah County (503) 234-7870

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 Roots Dental Broadway LLC's NPI number?

The NPI number for Roots Dental Broadway LLC is 1568977817. It was assigned to this organization in the NPPES registry on December 8, 2017.

Where is Roots Dental Broadway LLC located?

Roots Dental Broadway LLC is located at 2525 NE Broadway St Ste 200, Portland, OR 97232. The listed phone number is (503) 234-7870.

What is Roots Dental Broadway 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 Roots Dental Broadway LLC was last updated on December 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.