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NPI 1700201464

OrganizationActive

Brookside Dental-Gresham

NPI 1700201464 · Public Health Dentistry · Gresham, OR

Provider details

NPI number: 1700201464
Entity type: Organization
Primary specialty: Public Health DentistryDental Providers
Authorized official: Brian Westover, Owner/Dentist
License: D7444 (OR)

Practice location

4255 Se 182nd Ave

Gresham, OR 97030-5083

Phone: (503) 666-2515

Fax: (503) 618-9254

More OR providers

Mailing address

4255 Se 182nd Ave

Gresham, OR 97030-5083

Registry dates

Enumerated: 2014-03-04
Last updated: 2014-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brookside Dental-Gresham — NPI 1700201464, Gresham, OR | NPI Central