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

Roots Dental LLC

Organization General Practice Dentistry · NPI 1205336112

Roots Dental LLC is a General Practice Dentistry 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

3620 SE Powell Blvd # 200
Portland, OR 97202-1880
Phone: (716) 601-9468
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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 · Licence 9728 (OR)

Record details

NPI number1205336112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Smith — Ceo · (716) 601-9468
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 16, 2018
Mailing address3620 Se Powell Blvd # 200, Portland, OR 97202-1880

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