GRESHAM FAMILY DENTAL, LLC
NPI 1760214357
Dentist - General Practice in Camas, WA

Active since August 14, 2024
1821 SE 192ND AVE STE 200, CAMAS, WA 98607(360) 852-8515 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gresham Family Dental, Llc NPPES

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

GRESHAM FAMILY DENTAL, LLC (NPI 1760214357), doing business as Sleep Dentistry Of Vancouver -east, is a healthcare organization registered as a general practice in Camas, Washington and active in the NPI registry since August 2024. The organization lists Laverne A Blair, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1760214357
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRESHAM FAMILY DENTAL, LLC
Location Address1821 SE 192ND AVE STE 200Camas, WA 98607-6507
Mailing Address1821 Se 192nd Ave Ste 200Camas, WA 98607-6507 · (360) 852-8515
Organization SubpartNo
Authorized OfficialLaverne A BlairInsurance Coordinator · (360) 892-7107
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
NPI 1760214357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

1821 SE 192ND AVE STE 200, Camas, WA 98607

Other Names 1

Doing Business AsSleep Dentistry Of Vancouver -east

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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760214357, enumerated as an "organization" on August 14, 2024.

The provider is located at 1821 SE 192ND AVE STE 200 CAMAS, WA 98607 and the phone number is (360) 852-8515.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.