OrganizationActive
Roots Dental LLC
NPI 1205336112 · General Practice Dentistry · Portland, OR
Roots Dental LLC is a General Practice Dentistry organization in Portland, OR (NPI 1205336112).
Provider details
- NPI number
- 1205336112
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Smith, Ceo(716) 601-9468
- License
- 9728 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 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
3620 Se Powell Blvd # 200
Portland, OR 97202-1880
Phone: (716) 601-9468
Street-level locationGet directions
Mailing address
3620 Se Powell Blvd # 200
Portland, OR 97202-1880
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Frequently asked questions
- What is Roots Dental LLC's NPI number?
- Roots Dental LLC's National Provider Identifier (NPI) is 1205336112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roots Dental LLC?
- Roots Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Roots Dental LLC located?
- Roots Dental LLC's practice location on file with NPPES is 3620 Se Powell Blvd # 200, Portland, OR 97202-1880.
- What is Roots Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Roots Dental LLC is (716) 601-9468.
- Who is the authorized official for Roots Dental LLC?
- The authorized official listed on Roots Dental LLC's NPPES record is Ryan Smith, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roots Dental LLC's NPI active?
- Yes — Roots Dental LLC's NPI (1205336112) is active in the NPPES registry as of the last update on 2018-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.