OrganizationActive
Roots Dental Stark LLC
NPI 1063993749 · Dental Clinic/Center · Portland, OR
Roots Dental Stark LLC is a Dental Clinic/Center organization in Portland, OR (NPI 1063993749).
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(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Frequently asked questions
- What is Roots Dental Stark LLC's NPI number?
- Roots Dental Stark LLC's National Provider Identifier (NPI) is 1063993749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roots Dental Stark LLC?
- Roots Dental Stark LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Roots Dental Stark LLC located?
- Roots Dental Stark LLC's practice location on file with NPPES is 16338 Se Stark St, Portland, OR 97233-3958.
- What is Roots Dental Stark LLC's phone number?
- The practice phone number listed in the NPPES registry for Roots Dental Stark LLC is (971) 294-1399.
- Who is the authorized official for Roots Dental Stark LLC?
- The authorized official listed on Roots Dental Stark LLC's NPPES record is Ryan Smith, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roots Dental Stark LLC's NPI active?
- Yes — Roots Dental Stark LLC's NPI (1063993749) is active in the NPPES registry as of the last update on 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.