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Active NPI 1700201464 Organization (Entity Type 2)

Brookside Dental-Gresham

Dentist - Dental Public Health • Gresham, OR

About Brookside Dental-Gresham NPI 1700201464 Summary

Brookside Dental-Gresham is a verified healthcare organization specializing in Dentist - Dental Public Health operating in Gresham, OR. Located at 4255 SE 182ND AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1700201464.

Administrative operations and authorized compliance are overseen by Brian Westover (Owner/Dentist).

Facility Location & Contact Primary Location

Facility Address

4255 Se 182nd Ave

Gresham, OR 970305083

Telephone 5036662515
Fax 5036189254

Authorized Official Information

Authorized Contact Name

DR. Brian Westover , D,M,D

Title / Role

Owner/dentist

Official Telephone

5037238722

Facility Classifications & Specialties

Dentist - Dental Public Health Primary Taxonomy

NUCC Taxonomy Code: 1223D0001X

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2014

Registered at 4255 SE 182ND AVE, GRESHAM, OR 970305083 (Tel: 5036662515)

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Updated Business Mailing Address March 04, 2014

Registered at 4255 SE 182ND AVE, GRESHAM, OR 970305083 (Tel: 5036662515)

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Organization / Clinic Name Updated March 04, 2014

Operating as BROOKSIDE DENTAL-GRESHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2014

Dentist (License #D7444 in OR)

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Initial NPI Registration & Enumeration March 04, 2014

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1700201464
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 04, 2014
Last Update: March 04, 2014

Mailing Address

4255 Se 182nd Ave

Gresham, OR 970305083

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.