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

Roots Dental Broadway LLC

Organization Dental Clinic/Center · NPI 1568977817

Roots Dental Broadway LLC is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
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

2525 NE Broadway St Ste 200
Portland, OR 97232-3527
Phone: (503) 234-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D10629 (OR)

Record details

NPI number1568977817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Smith — Manager · (503) 234-7870
Other names Ne Dental Associates
NPI enumeratedDecember 8, 2017
Last updated in NPPESDecember 8, 2017
Mailing address2525 Ne Broadway St Ste 200, Portland, OR 97232-3527

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