OrganizationActive
Pettygrove Dental LLC
NPI 1558801597 · General Practice Dentistry · Portland, OR
Pettygrove Dental LLC is a General Practice Dentistry organization in Portland, OR (NPI 1558801597).
Provider details
- NPI number
- 1558801597
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carmel Doran, Dentist(503) 224-6317
- License
- D9708 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2267 Nw Pettygrove St
Portland, OR 97210-2760
Phone: (503) 224-6317
Street-level locationGet directions
Mailing address
2267 Nw Pettygrove St
Portland, OR 97210-2760
Registry dates
- Enumerated
- 2017-02-23
- Last updated
- 2017-02-23
Frequently asked questions
- What is Pettygrove Dental LLC's NPI number?
- Pettygrove Dental LLC's National Provider Identifier (NPI) is 1558801597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pettygrove Dental LLC?
- Pettygrove Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pettygrove Dental LLC located?
- Pettygrove Dental LLC's practice location on file with NPPES is 2267 Nw Pettygrove St, Portland, OR 97210-2760.
- What is Pettygrove Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Pettygrove Dental LLC is (503) 224-6317.
- Who is the authorized official for Pettygrove Dental LLC?
- The authorized official listed on Pettygrove Dental LLC's NPPES record is Carmel Doran, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pettygrove Dental LLC's NPI active?
- Yes — Pettygrove Dental LLC's NPI (1558801597) is active in the NPPES registry as of the last update on 2017-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.