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Active NPI 1659546547 Organization (Entity Type 2)

Gresham Downtown Dental Group, P.c.

Dentist - General Practice • Gresham, OR

About Gresham Downtown Dental Group, P.c. NPI 1659546547 Summary

Gresham Downtown Dental Group, P.C. is a verified healthcare organization specializing in Dentist - General Practice operating in Gresham, OR. Located at 320 NE 5TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1659546547.

Administrative operations and authorized compliance are overseen by Trent Westover (Dentist).

The facility is associated with 6 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

320 Ne 5th St

Gresham, OR 970307308

Telephone 5036665484
Fax 5036611069

Authorized Official Information

Authorized Contact Name

DR. Trent Westover , D.M.D.

Title / Role

Dentist

Official Telephone

5036665484

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.

Affiliated Practitioners & Clinicians

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

6 Linked

Dentist - Endodontics

Gresham, OR

View Practitioner Profile →
Dr. Ty Vaughan , DDS NPI 1558526368

Dentist - Endodontics

Gresham, OR

View Practitioner Profile →
Dr. Gary White , DMD NPI 1861557100

Dentist - General Practice

Gresham, OR

View Practitioner Profile →
Dr. Luke Noble , DDS NPI 1962899286

Dentist - Endodontics

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2008

Registered at 320 NE 5TH ST, GRESHAM, OR 970307308 (Tel: 5036665484)

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Updated Business Mailing Address April 23, 2008

Registered at 320 NE 5TH ST, GRESHAM, OR 970307308 (Tel: 5036665484)

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Organization / Clinic Name Updated April 23, 2008

Operating as GRESHAM DOWNTOWN DENTAL GROUP, P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Dentist (License #6868 in OR)

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Initial NPI Registration & Enumeration April 23, 2008

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: 1659546547
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 23, 2008
Last Update: June 21, 2018

Mailing Address

320 Ne 5th St

Gresham, OR 970307308

Phone: 5036665484

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.