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Active NPI 1285902619 Individual Practitioner Male Practitioner

Dr. Robert Joseph Kowal , DDS

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Robert Kowal, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 387 NE 223RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

387 Ne 223rd Ave

Gresham, OR 970308554

Telephone 5034915450
Associated Practice Facility / Clinic
🏢 Gresham Modern Dentistry, Pc Facility NPI 1760728786

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Gresham, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D9936

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID In Transit
9999 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Serena Waterworth-West , DMD

Dentist - General Practice

NPI 1043057334

Doctor of Dental Medicine

NPI 1114405859

Doctor of Dental Surgery

NPI 1629797485

Doctor of Dental Medicine

Dr. Jaime Holtz , DDS

Dentist - General Practice

NPI 1821519505

Doctor of Dental Surgery

NPI 1841860483

Doctor of Dental Medicine

NPI 1922483346

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2014

Registered at 387 NE 223RD AVE, GRESHAM, OR 970308554 (Tel: 5034915450)

📍
Updated Business Mailing Address January 24, 2014

Registered at 387 NE 223RD AVE, GRESHAM, OR 970308554 (Tel: 5034915450)

👤
Provider Name / Credentials Updated January 24, 2014

Recorded as ROBERT KOWAL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2014

Dentist (License #D9936 in OR)

🟢
Initial NPI Registration & Enumeration December 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285902619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2011
Last Update: January 24, 2014
Sole Proprietor: No

Mailing Address

387 Ne 223rd Ave

Gresham, OR 970308554

Phone: 5034915450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.