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Active NPI 1871768853 Organization (Entity Type 2)

Daniel J Ries, Dmd, Pc

Clinic/Center - Dental • Gresham, OR

About Daniel J Ries, Dmd, Pc NPI 1871768853 Summary

Daniel J Ries, Dmd, Pc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Gresham, OR. Located at 1201 SE 223RD AVE, SUITE 140, this facility provides patient care and medical services under National Provider Identifier (NPI) 1871768853.

Administrative operations and authorized compliance are overseen by Daniel Ries (Dentist/Owner).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1201 Se 223rd Ave
Suite 140

Gresham, OR 970302574

Telephone 5036658116

Authorized Official Information

Authorized Contact Name

Daniel Ries , DMD

Title / Role

Dentist/owner

Official Telephone

5036658116

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

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

4 Linked

Dr. Douglas Park , DDS NPI 1366521122

Dentist - Pediatric Dentistry

Gresham, OR

View Practitioner Profile →

Dr. Daniel Ries , DMD NPI 1386715910

Dentist - General Practice

Gresham, OR

View Practitioner Profile →

Dr. Kevin Shim , DDS NPI 1386784437

Dentist - General Practice

Gresham, OR

View Practitioner Profile →

Dr. Perry Stevenson , DDS, MS, PC NPI 1740384460

Dentist - Orthodontics and Dentofacial Orthopedics

Gresham, OR

View Practitioner Profile →

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 April 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2008

Registered at 1201 SE 223RD AVE, SUITE 140, GRESHAM, OR 970302574 (Tel: 5036658116)

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Updated Business Mailing Address April 29, 2008

Registered at 1201 SE 223RD AVE, SUITE 140, GRESHAM, OR 970302574 (Tel: 5036658116)

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Organization / Clinic Name Updated April 29, 2008

Operating as DANIEL J RIES, DMD, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2008

Clinic/Center (License #6196 in OR)

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Initial NPI Registration & Enumeration April 29, 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: 1871768853

Entity Type:

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

Enumeration Date: April 29, 2008

Last Update: April 29, 2008

Update or Correct Listing

Mailing Address

1201 Se 223rd Ave, Suite 140

Gresham, OR 970302574

Phone: 5036658116

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.