OrganizationActive
Roots Dental LLC
NPI 1205336112 · General Practice Dentistry · Portland, OR
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(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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.