ADVANTAGE DENTAL ORAL HEALTH CENTER - NPI 1972970671

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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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 1972970671) is a healthcare organization registered as a general practice in Bend, Oregon and active in the NPI registry since August 2015. The organization holds 4 active CLIA laboratory certificates, maintains 9 additional practice locations, and lists Sharon Edmondson, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1972970671

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameADVANTAGE DENTAL GROUP, PC

Location Address63140 BRITTA ST STE D104Bend, OR 97703-5738

Mailing Address63140 Britta St Ste D104Bend, OR 97703-5738 · (888) 468-0022

Phone(888) 468-0022

Organization SubpartNo

Authorized OfficialSharon EdmondsonManager, Licensing & Credentialing · (629) 999-5014

Enumeration DateAugust 28, 2015

Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1972970671 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.

63140 BRITTA ST STE D104, Bend, OR 97703

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Other Names 1

Doing Business AsAdvantage Dental Oral Health Center

Secondary Practice Locations 9

Location 113831 NW Cornell Rd Ste CPortland, OR 97229-5465 · Phone (503) 718-3762 · Fax (503) 718-3766

Location 213831 NW Cornell Rd Ste APortland, OR 97229-5465 · Phone (503) 614-9999 · Fax (503) 439-1299

Location 313023 SE 84th AveClackamas, OR 97015-9798 · Phone (503) 353-9992 · Fax (503) 513-0747

Location 45880 NE Cornell Rd Ste DHillsboro, OR 97124-9075 · Phone (503) 615-8600 · Fax (503) 681-8691

Location 57107 S MacAdam AvePortland, OR 97219-3075 · Phone (503) 293-5454

Location 61111 N Roosevelt Dr Ste 110Seaside, OR 97138-4603 · Phone (503) 738-2036

Location 710535 NE Glisan StPortland, OR 97220-4077 · Phone (503) 444-2824 · Fax (503) 444-2823

Location 8150 SE 3rd AveHillsboro, OR 97123-4019 · Phone (503) 213-1257 · Fax (503) 213-1258

Location 93514 NE Broadway StPortland, OR 97232-1821 · Phone (503) 284-1602 · Fax (503) 284-1587

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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 38D2303589

Advantage Dental + Beaverton · Portland, OR

Active · expires Apr 25, 2028

CLIA Number38D2303589

Laboratory TypeDental

Certificate Effective DateApril 26, 2026

Certificate Expiration DateApril 25, 2028

Laboratory DirectorDr. Gary Allen

Laboratory Phone(503) 718-3762

Laboratory LocationAdvantage Dental + Beaverton13831 NW Cornell Rd, Suite A, Portland, OR 97229

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2303592

Advantage Dental + Broadway · Portland, OR

Active · expires Apr 25, 2028

CLIA Number38D2303592

Laboratory TypeDental

Certificate Effective DateApril 26, 2026

Certificate Expiration DateApril 25, 2028

Laboratory DirectorDr. Gary Allen

Laboratory Phone(503) 284-1602

Laboratory LocationAdvantage Dental + Broadway3514 NE Broadway, Portland, OR 97232

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2173006

Advantage Dental + Gateway · Portland, OR

Active · expires Oct 2, 2027

CLIA Number38D2173006

Laboratory TypeDental

Certificate Effective DateOctober 3, 2025

Certificate Expiration DateOctober 2, 2027

Laboratory DirectorGary W. Allen

Laboratory Phone(971) 217-8585

Laboratory LocationAdvantage Dental + Gateway10535 NE Glisan St, Ste 100, Portland, OR 97220

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2189711

Advantage Dental + Glisan · Portland, OR

Active · expires Aug 3, 2026

CLIA Number38D2189711

Laboratory TypeDental

Certificate Effective DateAugust 4, 2024

Certificate Expiration DateAugust 3, 2026

Laboratory DirectorGary W. Allen

Laboratory Phone(503) 427-9942

Laboratory LocationAdvantage Dental + Glisan10535 NE Glisan St, Ste 301, Portland, OR 97220

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 5

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

MRS. ANGELA M ROBISON W000105223

Community Health Worker