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Active NPI 1952808503 Organization (Entity Type 2)

Jonathan Garcia Dds Llc

Dentist - General Practice • Gresham, OR

About Jonathan Garcia Dds Llc NPI 1952808503 Summary

Jonathan Garcia Dds Llc is a verified healthcare organization specializing in Dentist - General Practice operating in Gresham, OR. Located at 670 NW EASTMAN PKWY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1952808503.

Administrative operations and authorized compliance are overseen by Jonathan Garcia (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

670 Nw Eastman Pkwy

Gresham, OR 970307255

Telephone 5034051155

Authorized Official Information

Authorized Contact Name

Jonathan Garcia

Title / Role

Owner

Official Telephone

5034051155

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

1 Linked

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active April 10, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 10, 2018

Registered at 670 NW EASTMAN PKWY, GRESHAM, OR 970307255 (Tel: 5034051155)

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Updated Business Mailing Address April 10, 2018

Registered at PO BOX 3189, SYRACUSE, NY 132203189

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Organization / Clinic Name Updated April 10, 2018

Operating as JONATHAN GARCIA DDS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2018

Dentist

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Initial NPI Registration & Enumeration April 10, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1952808503
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 10, 2018
Last Update: April 10, 2018

Mailing Address

Po Box 3189

Syracuse, NY 132203189

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.