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

Gresham Dg LLC

Organization Dental Clinic/Center · NPI 1184362329

Gresham Dg LLC is a Dental Clinic/Center in Gresham, Oregon. Registered with an NPI since 2022.

In the registry since
2022
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

455 W Powell Blvd
Gresham, OR 97030
Phone: (503) 661-9696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1184362329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Smith — Manager · (971) 708-9540
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 11, 2022
Mailing address455 West Powell Blvd, Gresham, OR 97030

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