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ADVANTAGE DENTAL ORAL HEALTH CENTER
NPI 1831741958
Dentist - General Practice in Boardman, OR

Active since July 09, 2019CLIA 38D2191333 · Waiver
300 TATONE, BOARDMAN, OR 97818(541) 945-4008(541) 516-4041 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advantage Dental Oral Health Center NPPES

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

ADVANTAGE DENTAL ORAL HEALTH CENTER (NPI 1831741958) is a healthcare organization registered as a general practice in Boardman, Oregon and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Sharon Edmondson, Manager, Licensing And Credentialin, as its authorized official.

NPPES Registry Identity

NPI1831741958
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANTAGE DENTAL GROUP, PC
Location Address300 TATONEBoardman, OR 97818
Mailing AddressPo Box 11470Eugene, OR 97440-3670 · (541) 945-4008 · Fax (541) 516-4041
Phone(541) 945-4008
Fax(541) 516-4041
Organization SubpartNo
Authorized OfficialSharon EdmondsonManager, Licensing And Credentialin · (629) 999-5014
Enumeration DateJuly 9, 2019
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1831741958 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.
300 TATONE, Boardman, OR 97818
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Other Names 1

Doing Business AsAdvantage Dental Oral Health Center

Other Identifiers 1

Medicaid500768152OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2191333

Advantage Dental + Boardman · Boardman, OR
Active · expires Aug 24, 2026
CLIA Number38D2191333
Laboratory TypeDental
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorGary W. Allen
Laboratory Phone(541) 837-1663
Laboratory LocationAdvantage Dental + Boardman300 Tatone, Boardman, OR 97818
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

HAYDEN FAMILY DENTISTRY GROUP
Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Morrow County (541) 481-9311
DR. TYLER BENDIXSEN DMD
Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Morrow County (888) 468-0022
JEREMY LARSON DMD
Dentist (General Practice)
300 TATONE
BOARDMAN, OR 97818
Morrow County (888) 468-0022
DR. ROSE GREYSLAK D.M.D.
Dentist
300 TATONE
BOARDMAN, OR 97818
Morrow County (888) 468-0022

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 Advantage Dental Group, PC's NPI number?

The NPI number for Advantage Dental Group, PC is 1831741958. It was assigned to this organization in the NPPES registry on July 9, 2019. The provider is doing business as Advantage Dental Oral Health Center.

Where is Advantage Dental Group, PC located?

Advantage Dental Group, PC is located at 300 Tatone, Boardman, OR 97818. The listed phone number is (541) 945-4008.

What is Advantage Dental Group, PC's specialty?

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

Does Advantage Dental Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2191333) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advantage Dental Group, PC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.