OrganizationActive
Sandra J. Bennett, DMD LLC
NPI 1053586529 · Dental Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1053586529
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Bennett, Owner(503) 667-0438
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22400 Se Stark St
Gresham, OR 97030-2656
Phone: (503) 667-0438
Fax: (503) 665-4870
Street-level locationGet directions
Mailing address
22400 Se Stark St
Gresham, OR 97030-2656
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2008-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.