OrganizationActive
Mountainside General Dentistry
NPI 1215104476 · Dentist · Portland, OR
Provider details
- NPI number
- 1215104476
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lenore Supnet, Dentist(503) 762-2525
- License
- D7895 (OR)
Specialties & taxonomies
Dental Providers
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
3740 Se 122nd Ave
Portland, OR 97236-3405
Phone: (503) 762-2525
Fax: (503) 762-4872
Street-level locationGet directions
Mailing address
3740 Se 122nd Ave
Portland, OR 97236-3405
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2008-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.