OrganizationActive
Estacada Family Dental, LLC
NPI 1366059768 · General Practice Dentistry · Estacada, OR
Provider details
- NPI number
- 1366059768
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Cornelius Gehred, President(503) 630-4218
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
630 N Broadway St
Estacada, OR 97023-8584
Phone: (503) 630-4218
Street-level locationGet directions
Mailing address
Po Box 929
Estacada, OR 97023-0929
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2020-09-29
- Certified
- 2020-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.