Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Estacada Family Dental, LLC

Organization General Practice Dentistry · NPI 1366059768

Estacada Family Dental, LLC is a General Practice Dentistry in Estacada, Oregon. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 N Broadway St
Estacada, OR 97023-8584
Phone: (503) 630-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1366059768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cornelius Gehred — President · (503) 630-4218
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing addressPo Box 929, Estacada, OR 97023-0929

Other providers in Estacada