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Active NPI 1124548235 Organization (Entity Type 2)

Deca Dentistry

Dentist - General Practice • Gresham, OR

About Deca Dentistry NPI 1124548235 Summary

Deca Dentistry is a verified healthcare organization specializing in Dentist - General Practice operating in Gresham, OR. Located at 501 NE HOOD AVE STE 235, this facility provides patient care and medical services under National Provider Identifier (NPI) 1124548235.

Administrative operations and authorized compliance are overseen by Beatrice Deca (Dentist/ Owner).

The facility is associated with 4 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

501 Ne Hood Ave Ste 235

Gresham, OR 970307346

Telephone 5036614900

Authorized Official Information

Authorized Contact Name

DR. Beatrice Deca , DMD

Title / Role

Dentist/ Owner

Official Telephone

5032679400

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
James Burke NPI 1205988953

Dentist - General Practice

Portland, OR

View Practitioner Profile →

Dentist - General Practice

Gresham, OR

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

5440 Sw Westgate Dr Ste 165

Portland, OR 972212421

Phone: 5032679400

Facility & Registry History Timeline

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

11 Historical Events
NPI Profile Active September 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 17, 2017

Registered at 501 NE HOOD AVE STE 235, GRESHAM, OR 970307346 (Tel: 5036614900)

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Updated Business Mailing Address September 17, 2017

Registered at 501 NE HOOD AVE STE 235, GRESHAM, OR 97030 (Tel: 5036614900)

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Organization / Clinic Name Updated September 17, 2017

Operating as DECA DENTISTRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2017

Dentist (License #D10376 in OR)

NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2017

Registered at 5440 SW WESTGATE DR STE 165, PORTLAND, OR 972212421 (Tel: 5032679400)

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Updated Business Mailing Address June 21, 2017

Registered at 1261 NW OVERTON ST APT 2505, PORTLAND, OR 972094059 (Tel: 5032679400)

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Organization / Clinic Name Updated June 21, 2017

Operating as DECA DENTISTRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Dentist (License #D10376 in OR)

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Initial NPI Registration & Enumeration June 21, 2017

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: 1124548235
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 21, 2017
Last Update: March 17, 2018

Mailing Address

501 Ne Hood Ave Ste 235

Gresham, OR 97030

Phone: 5036614900

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.