Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518234426 Individual Practitioner Male Practitioner

Dr. Gordon Rodney Stanger , DDS

Dentist - General Practice • Siletz, OR

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Stanger, DDS is a registered healthcare professional specializing in Dentist - General Practice in Siletz, OR. Practice services are available at 200 GWEE SHUT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Gwee Shut Rd

Siletz, OR 973802036

Telephone 5414441030
Associated Practice Facility / Clinic
🏢 Confederated Tribes Of Siletz Facility NPI 1154837383

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Siletz, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Siletz, 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 D9685

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500662095 (OR)

Practice Associates & Co-Workers

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

39 Associated Practitioners
Laura Bremner

Community Health Worker

NPI 1003691171
Todd Logan , CADC R

Counselor - Addiction (Substance Use Disorder)

NPI 1013740836

CADCR

Conrad Douma , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1023131646

CADCI

Dr. Lisa Emond , MD

Internal Medicine

NPI 1033101324

Doctor of Medicine (M.D.)

Dr. James Haeg , MD

Family Medicine

NPI 1033324264

Doctor of Medicine (M.D.)

Angeline Poirier , THW

Community Health Worker

NPI 1043176423

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2017

Registered at 200 GWEE SHUT RD, SILETZ, OR 973802036 (Tel: 5414441030)

📍
Updated Business Mailing Address February 22, 2017

Registered at PO BOX 320, SILETZ, OR 973800320 (Tel: 5414441030)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as GORDON STANGER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Dentist (License #D9685 in OR)

NPI Profile Active November 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2011

Registered at 16155 NW CORNELL RD STE 450, BEAVERTON, OR 970068101 (Tel: 5036295300)

📍
Updated Business Mailing Address November 20, 2011

Registered at 5016 NE CANDLEWOOD PL, HILLSBORO, OR 971246447 (Tel: 5037474719)

👤
Provider Name / Credentials Updated November 20, 2011

Recorded as GORDON STANGER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2011

Dentist (License #D9685 in OR)

🟢
Initial NPI Registration & Enumeration November 20, 2011

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: 1518234426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2011
Last Update: February 22, 2017
Sole Proprietor: No

Mailing Address

Po Box 320

Siletz, OR 973800320

Phone: 5414441030

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.