Brookside Dental-Gresham

Public Health Dentistry · Gresham, OR

Organization Active NPI

NPI number 1700201464

Practice location

4255 SE 182ND Ave
Gresham, OR 97030-5083
Phone
(503) 666-2515
Fax
(503) 618-9254

Open in Google Maps

NPI record

NPI
1700201464
Entity type
Organization (Type 2)
Enumeration date
March 4, 2014
Last updated
March 4, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Public Health Dentistry Primary 1223D0001X D7444 OR

Authorized official

Name
Dr. Brian Reed Westover, D,M,D
Title
Owner/Dentist
Phone
(503) 723-8722

About Brookside Dental-Gresham

Brookside Dental-Gresham is a healthcare organization registered in the NPI registry with the primary taxonomy Public Health Dentistry (code 1223D0001X). The practice location is 4255 SE 182ND Ave, Gresham, OR 97030-5083. The NPI number 1700201464 was assigned on March 4, 2014 and the record was last updated on March 4, 2014.

Brookside Dental-Gresham lists a license in the registry: #D7444 (OR) for Public Health Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brian Reed Westover, D,M,D, Owner/Dentist.

Frequently asked questions

What is the NPI number of Brookside Dental-Gresham?

The NPI number is 1700201464.

What is the phone number of Brookside Dental-Gresham?

The phone number listed for the practice location is (503) 666-2515.

Where is Brookside Dental-Gresham located?

4255 SE 182ND Ave, Gresham, OR 97030-5083.

What is the taxonomy code for Brookside Dental-Gresham?

The primary taxonomy code is 1223D0001X – Public Health Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Public Health Dentistry providers in Gresham

All Public Health Dentistry providers in Gresham, OR →