Gresham Modern Dentistry, PC

Dentist · Gresham, OR

Organization Active NPI

NPI number 1760728786

Practice location

387 NE 223rd Ave
Gresham, OR 97030-8554
Phone
(503) 491-5450
Fax
(503) 491-5452

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NPI record

NPI
1760728786
Entity type
Organization (Type 2)
Enumeration date
December 19, 2012
Last updated
December 31, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone
(714) 845-8890
Fax
(949) 474-1495

Authorized official

Name
Dr. Richard I Ashton II, DMD
Title
Owner Doctor
Phone
(503) 491-5450

Other names

  • Gresham Modern Dentistry, PC

About Gresham Modern Dentistry, PC

Gresham Modern Dentistry, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 387 NE 223rd Ave, Gresham, OR 97030-8554. The NPI number 1760728786 was assigned on December 19, 2012 and the record was last updated on December 31, 2013.

The authorized official for this organization is Dr. Richard I Ashton II, DMD, Owner Doctor.

Frequently asked questions

What is the NPI number of Gresham Modern Dentistry, PC?

The NPI number is 1760728786.

What is the phone number of Gresham Modern Dentistry, PC?

The phone number listed for the practice location is (503) 491-5450.

Where is Gresham Modern Dentistry, PC located?

387 NE 223rd Ave, Gresham, OR 97030-8554.

What is the taxonomy code for Gresham Modern Dentistry, PC?

The primary taxonomy code is 122300000X – Dentist.

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.

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