OrganizationActive
Roots Dental Stark LLC
NPI 1063993749 · Dental Clinic/Center · Portland, OR
Provider details
- NPI number
- 1063993749
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Smith, Manager(503) 912-2600
- License
- D9728 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
16338 Se Stark St
Portland, OR 97233-3958
Phone: (971) 294-1399
Street-level locationGet directions
Mailing address
16338 Se Stark St
Portland, OR 97233-3958
Other names (DBA / former)
- Doing business as
- Roots Dental
- Doing business as
- Roots Dental
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2019-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.