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CRISDENTAL GRANTS PASS LLC
NPI 1790239697
Dentist - General Practice in Grants Pass, OR

Active since August 09, 2016
934 NE 8TH ST, GRANTS PASS, OR 97526(541) 492-1687(866) 216-6527 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crisdental Grants Pass Llc NPPES

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

CRISDENTAL GRANTS PASS LLC (NPI 1790239697) is a healthcare organization registered as a general practice in Grants Pass, Oregon and active in the NPI registry since August 2016. The organization lists Michael J Bratland, Owner, as its authorized official.

NPPES Registry Identity

NPI1790239697
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRISDENTAL GRANTS PASS LLC
Location Address934 NE 8TH STGrants Pass, OR 97526-1641
Mailing AddressPo Box 1405Roseburg, OR 97470-0338 · (541) 492-1687 · Fax (866) 216-6527
Phone(541) 492-1687
Fax(866) 216-6527
Organization SubpartYesParent: Crisdental Group Pc
Authorized OfficialMichael J BratlandOwner · (541) 492-1687
Enumeration DateAugust 9, 2016
✔ NPI 1790239697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8594
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.
934 NE 8TH ST, Grants Pass, OR 97526
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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 3

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

DENTAL VISION PC
Dentist
934 NE 8TH ST
GRANTS PASS, OR 97526
Josephine County (541) 471-7062
ANDREA T. KASIAH
Dental Hygienist
934 NE 8TH ST
GRANTS PASS, OR 97526
Josephine County (541) 471-7062
DR. IGOR SHISHKIN DDS
Dentist
934 NE 8TH ST
GRANTS PASS, OR 97526
Josephine County (541) 471-7062

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 Crisdental Grants Pass LLC's NPI number?

The NPI number for Crisdental Grants Pass LLC is 1790239697. It was assigned to this organization in the NPPES registry on August 9, 2016.

Where is Crisdental Grants Pass LLC located?

Crisdental Grants Pass LLC is located at 934 NE 8th St, Grants Pass, OR 97526. The listed phone number is (541) 492-1687.

What is Crisdental Grants Pass LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Crisdental Grants Pass LLC was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.