PEDIATRIC DENTAL ASSOCIATES
NPI 1912304528
Dentist - Pediatric Dentistry in Redmond, OR

Active since November 25, 2014
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756(541) 923-8666 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Associates NPPES

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

PEDIATRIC DENTAL ASSOCIATES (NPI 1912304528) is a healthcare organization registered as a pediatric dentistry in Redmond, Oregon and active in the NPI registry since November 2014. The organization lists Elise Poremski Burrus, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1912304528
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBURRUS DENTISTRY PC
Location Address413 NW LARCH AVE, SUITE 201Redmond, OR 97756-1361
Mailing Address413 Nw Larch Ave, Suite 201Redmond, OR 97756-1361 · (541) 923-8666
Organization SubpartNo
Authorized OfficialElise Poremski BurrusPediatric Dentist · (541) 923-8666
Enumeration DateNovember 25, 2014
NPI 1912304528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
413 NW LARCH AVE, Redmond, OR 97756

Other Names 1

Doing Business AsPediatric Dental Associates

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

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Physical Therapist
413 NW LARCH AVE, SUITE 102
REDMOND, OR 97756
Physical Therapist
413 NW LARCH AVE, SUITE 102
REDMOND, OR 97756
Nurse Practitioner (Family)
413 NW LARCH AVE, #203
REDMOND, OR 97756
Physical Therapist
413 NW LARCH AVE, SUITE 102
REDMOND, OR 97756
Dentist (Pediatric Dentistry)
413 NW LARCH AVE, SUITE 201
REDMOND, OR 97756
Dental Hygienist
413 NW LARCH AVE, SUITE 201
REDMOND, OR 97756
Dentist (Pediatric Dentistry)
413 NW LARCH AVE, SUITE 201
REDMOND, OR 97756
Physical Therapist
413 NW LARCH AVE, SUITE 102
REDMOND, OR 97756

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 Burrus Dentistry PC's NPI number?

The NPI number for Burrus Dentistry PC is 1912304528. It was assigned to this organization in the NPPES registry on November 25, 2014. The provider is doing business as Pediatric Dental Associates.

Where is Burrus Dentistry PC located?

Burrus Dentistry PC is located at 413 NW Larch Ave Suite 201, Redmond, OR 97756. The listed phone number is (541) 923-8666.

What is Burrus Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Burrus Dentistry PC accept?

Health plans from UnitedHealthcare list Burrus Dentistry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burrus Dentistry PC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.