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

Roots Dental Gp LLC

Organization Dental Clinic/Center · NPI 1134609027

Roots Dental Gp LLC is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
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

2111 NE 40th Ave
Portland, OR 97212-5406
Phone: (503) 284-2139
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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 D9728 (OR)

Record details

NPI number1134609027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Smith — Manager · (971) 294-1399
Other names Roots Dental
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018
Mailing address2111 Ne 40th Ave, Portland, OR 97212-5406

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