Roots Dental Stark LLC
Roots Dental Stark 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.
Practice location Address checks out
16338 SE Stark StPortland, OR 97233-3958
Phone: (971) 294-1399
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1063993749 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Smith — Manager · (503) 912-2600 |
| Other names | Roots Dental; Roots Dental |
| NPI enumerated | August 22, 2018 |
| Last updated in NPPES | September 20, 2019 |
| Mailing address | 16338 Se Stark St, Portland, OR 97233-3958 |
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