Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013317676 Individual Practitioner Male Practitioner

Dr. Vincent Colasurdo , DMD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Colasurdo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 833 SW 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

833 Sw 11th Ave
Suite 723

Portland, OR 972052125

Telephone 5032237661
Associated Practice Facility / Clinic
🏢 John A Mccomb, Dmd Facility NPI 1134180284

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10138

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427150341

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2014

Registered at 833 SW 11TH AVE, SUITE 723, PORTLAND, OR 972052125 (Tel: 5032237661)

📍
Updated Business Mailing Address September 01, 2014

Registered at 833 SW 11TH AVE, SUITE 723, PORTLAND, OR 972052125 (Tel: 5032237661)

👤
Provider Name / Credentials Updated September 01, 2014

Recorded as VINCENT COLASURDO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2014

Dentist (License #D10138 in OR)

🟢
Initial NPI Registration & Enumeration September 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013317676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2014
Last Update: September 01, 2014
Sole Proprietor: No

Mailing Address

833 Sw 11th Ave, Suite 723

Portland, OR 972052125

Phone: 5032237661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.