| Bayside Dental Care Of Portland | |
|
101 Cedar Dr Ste B Portland TX 78374-2939 | |
| (361) 643-9557 | |
| Not Available |
| Full Name | Bayside Dental Care Of Portland |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Cedar Dr Ste B, Portland, Texas |
| Authorized Official Name and Position | Mitchell Ryan Gresham (GENERAL DENTIST) |
| Authorized Official Contact | 8062062183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Dental Care Of Portland 101 Cedar Dr Ste B Portland TX 78374-2939 Ph: () - | Bayside Dental Care Of Portland 101 Cedar Dr Ste B Portland TX 78374-2939 Ph: (361) 643-9557 |
| NPI Number | 1891649778 |
|---|---|
| Provider Enumeration Date | 02/25/2026 |
| Last Update Date | 02/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891649778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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