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Active NPI 1083393920 Organization (Entity Type 2)

Bd-Gresham, Llc

Clinic/Center - Dental • Gresham, OR

About Bd-Gresham, Llc NPI 1083393920 Summary

Bd-Gresham, Llc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Gresham, OR. Located at 1700 NW CIVIC DR STE 320, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083393920.

Administrative operations and authorized compliance are overseen by Debbie Lopez (Regional Manager).

Facility Location & Contact Primary Location

Facility Address

1700 Nw Civic Dr Ste 320

Gresham, OR 970303774

Telephone 5036662515

Authorized Official Information

Authorized Contact Name

Debbie Lopez

Title / Role

Regional Manager

Official Telephone

5039148221

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 17, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2023

Registered at 1700 NW CIVIC DR STE 320, GRESHAM, OR 970303774 (Tel: 5036662515)

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Updated Business Mailing Address July 17, 2023

Registered at 1700 NW CIVIC DR STE 320, GRESHAM, OR 970303774 (Tel: 5036662515)

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Organization / Clinic Name Updated July 17, 2023

Operating as BD-GRESHAM, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Clinic/Center

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Initial NPI Registration & Enumeration July 17, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1083393920

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 17, 2023

Last Update: July 17, 2023

Update or Correct Listing

Mailing Address

1700 Nw Civic Dr Ste 320

Gresham, OR 970303774

Phone: 5036662515

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.