Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932157609 Individual Practitioner Female Practitioner

Dr. Sandra J. Bennett , DMD

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Bennett, DMD is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 22400 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22400 Se Stark St

Gresham, OR 970302656

Telephone 5036670438
Fax 5036654870
Associated Practice Facility / Clinic
🏢 Mt. Hood Vision, Inc Facility NPI 1477571149

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 D7351

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

16 Associated Practitioners
Brian Soderholm , LMT

Mechanotherapist

NPI 1053683813

Licensed Massage Therapist

Georgia Fountas , LMT

Massage Therapist

NPI 1073869707

Licensed Massage Therapist

NPI 1083850424

MACOM, Licensed Acupuncturist

NPI 1124241005

Licensed Massage Therapist

Dr. Maureen Sacon , DO

Neuromusculoskeletal Medicine & OMM

NPI 1205055100

Doctor of Osteopathic Medicine (D.O.)

NPI 1225557549

LMTLAC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2008

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656 (Tel: 5036670438)

📍
Updated Business Mailing Address April 24, 2008

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656 (Tel: 5036670438)

👤
Provider Name / Credentials Updated April 24, 2008

Recorded as SANDRA BENNETT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Dentist (License #D7351 in OR)

🟢
Initial NPI Registration & Enumeration May 05, 2006

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: 1932157609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: April 24, 2008
Sole Proprietor: No

Mailing Address

22400 Se Stark St

Gresham, OR 970302656

Phone: 5036670438

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.