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Active NPI 1851940407 Organization (Entity Type 2)

Thomas Grass, Dmd Llc

Clinic/Center - Dental • Portland, OR

Public Directory Information & Medical Disclaimer

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About Thomas Grass, Dmd Llc NPI 1851940407 Summary

Thomas Grass, Dmd Llc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Portland, OR. Located at 15925 SE STARK ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1851940407.

Administrative operations and authorized compliance are overseen by Thomas Grass (Owner).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

15925 Se Stark St

Portland, OR 972333525

Telephone 5032531096
Fax 5032530291

Authorized Official Information

Authorized Contact Name

DR. Thomas Grass , DMD

Title / Role

Owner

Official Telephone

5037023080

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

3 Linked

Dentist - General Practice

Portland, OR

View Practitioner Profile →

Dentist - General Practice

Portland, OR

View Practitioner Profile →

Dentist - Endodontics

Portland, 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 September 06, 2019

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2019

Registered at 15925 SE STARK ST, PORTLAND, OR 972333525 (Tel: 5032531096)

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Updated Business Mailing Address September 06, 2019

Registered at 15925 SE STARK ST, PORTLAND, OR 972333525 (Tel: 5032531096)

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Organization / Clinic Name Updated September 06, 2019

Operating as THOMAS GRASS, DMD LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Clinic/Center

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Initial NPI Registration & Enumeration September 06, 2019

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: 1851940407
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 06, 2019
Last Update: September 06, 2019

Mailing Address

15925 Se Stark St

Portland, OR 972333525

Phone: 5032531096

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.