OrganizationActive
Lake Grove Dental
NPI 1528235314 · General Practice Dentistry · Lake Oswego, OR
Lake Grove Dental is a General Practice Dentistry organization in Lake Oswego, OR (NPI 1528235314).
Provider details
- NPI number
- 1528235314
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Catherine Maurer, Office Manager(503) 636-3641
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
4055 Mercantile Dr
Suite 150
Lake Oswego, OR 97035-2633
Phone: (503) 636-3641
Fax: (503) 765-5310
Street-level locationGet directions
Mailing address
4055 Mercantile Dr
Lake Oswego, OR 97035-2633
Other names (DBA / former)
- Former legal business name
- Gordon L Wiltshire, Jr, DMD, PC
- Doing business as
- Lake Grove Dental
- Doing business as
- Lake Grove Dental
Registry dates
- Enumerated
- 2008-05-12
- Last updated
- 2025-08-05
Frequently asked questions
- What is Lake Grove Dental's NPI number?
- Lake Grove Dental's National Provider Identifier (NPI) is 1528235314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Grove Dental?
- Lake Grove Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lake Grove Dental located?
- Lake Grove Dental's practice location on file with NPPES is 4055 Mercantile Dr, Lake Oswego, OR 97035-2633.
- What is Lake Grove Dental's phone number?
- The practice phone number listed in the NPPES registry for Lake Grove Dental is (503) 636-3641.
- Who is the authorized official for Lake Grove Dental?
- The authorized official listed on Lake Grove Dental's NPPES record is Catherine Maurer, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Grove Dental's NPI active?
- Yes — Lake Grove Dental's NPI (1528235314) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.