Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699126532 Individual Practitioner Male Practitioner

Tyler Bradstreet

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Tyler Bradstreet is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 23479 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23479 Se Stark St
Ste. 102

Gresham, OR 970302962

Telephone 5036671184
Associated Practice Facility / Clinic
🏢 Rinnovare Laser And Wellness Facility NPI 1306003645

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

CMS Verified: 2021-01-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10466

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kevin Shim , DDS

Dentist - General Practice

NPI 1386784437

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 13, 2021

Registered at 14740 NW CORNELL RD STE 120, PORTLAND, OR 972295400 (Tel: 5036900400)

NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2016

Registered at 23479 SE STARK ST, STE. 102, GRESHAM, OR 970302962 (Tel: 5036671184)

📍
Updated Business Mailing Address June 22, 2016

Registered at 23479 SE STARK ST, STE. 102, GRESHAM, OR 970302962 (Tel: 5036671184)

👤
Provider Name / Credentials Updated June 22, 2016

Recorded as TYLER BRADSTREET

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Dentist (License #D10466 in OR)

🟢
Initial NPI Registration & Enumeration June 22, 2016

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: 1699126532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2016
Last Update: January 13, 2021
Sole Proprietor: No

Mailing Address

14740 Nw Cornell Rd Ste 120

Portland, OR 972295400

Phone: 5036900400

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.