BROOKSIDE DENTAL-GRESHAM
NPI 1700201464
Dentist - Dental Public Health in Gresham, OR

Active since March 04, 2014
4255 SE 182ND AVE, GRESHAM, OR 97030(503) 666-2515(503) 618-9254 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookside Dental-gresham NPPES

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

BROOKSIDE DENTAL-GRESHAM (NPI 1700201464) is a healthcare organization registered as a dental public health in Gresham, Oregon and active in the NPI registry since March 2014. The organization lists Brian Reed Westover, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1700201464
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameBROOKSIDE DENTAL-GRESHAM
Location Address4255 SE 182ND AVEGresham, OR 97030-5083
Mailing Address4255 Se 182nd AveGresham, OR 97030-5083 · (503) 666-2515 · Fax (503) 618-9254
Fax(503) 618-9254
Organization SubpartNo
Authorized OfficialBrian Reed WestoverOwner/dentist · (503) 723-8722
Enumeration DateMarch 4, 2014
NPI 1700201464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License Licensed in OR · D7444
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
4255 SE 182ND AVE, Gresham, OR 97030

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

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

Dentist
4255 SE 182ND AVE
GRESHAM, OR 97030

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 Brookside Dental-Gresham's NPI number?

The NPI number for Brookside Dental-Gresham is 1700201464. It was assigned to this organization in the NPPES registry on March 4, 2014.

Where is Brookside Dental-Gresham located?

Brookside Dental-Gresham is located at 4255 SE 182nd Ave, Gresham, OR 97030. The listed phone number is (503) 666-2515.

What is Brookside Dental-Gresham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Brookside Dental-Gresham was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.