JESSE R GRIDLEY DMD
NPI 1821398223
Dentist - General Practice in North Bend, OR

Active since November 01, 2010
1885 WAITE ST, NORTH BEND, OR 97459(541) 756-1117(541) 756-3811 Get Directions Write a Review

NPPES record last updated: November 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesse R Gridley Dmd NPPES

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

JESSE R GRIDLEY DMD (NPI 1821398223) is an individual general practice provider in North Bend, Oregon, licensed in Oregon (D9466) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1821398223
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJESSE R GRIDLEYCredential: DMD
Location Address1885 WAITE STNorth Bend, OR 97459-1210
Mailing Address1885 Waite StNorth Bend, OR 97459-1210 · (541) 756-1117 · Fax (541) 756-3811
Fax(541) 756-3811
Sole ProprietorNo
Enumeration DateNovember 1, 2010
NPI 1821398223 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 · D9466
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.
1885 WAITE ST, North Bend, OR 97459

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
1885 WAITE ST
NORTH BEND, OR 97459
Dentist (General Practice)
1885 WAITE ST
NORTH BEND, OR 97459
Dental Assistant
1885 WAITE ST
NORTH BEND, OR 97459
Dentist
1885 WAITE ST
NORTH BEND, OR 97459
Dentist (General Practice)
1885 WAITE ST
NORTH BEND, OR 97459

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 Jesse Gridley's NPI number?

The NPI number for Jesse Gridley is 1821398223. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Where is Jesse Gridley located?

Jesse Gridley practices at 1885 Waite St, North Bend, OR 97459. The listed phone number is (541) 756-1117.

What is Jesse Gridley'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 Jesse Gridley was last updated on November 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.