| Gresham Smile Designs | |
|
1201 Se 223rd Ave Ste 140 Gresham OR 97030-2576 | |
| (503) 665-8116 | |
| Not Available |
| Full Name | Gresham Smile Designs |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1201 Se 223rd Ave Ste 140, Gresham, Oregon |
| Authorized Official Name and Position | Christy Dupin (MANAGER OF CREDENTIALING) |
| Authorized Official Contact | 4806744151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gresham Smile Designs 1201 Se 223rd Ave Ste 140 Gresham OR 97030-2576 | Gresham Smile Designs 1201 Se 223rd Ave Ste 140 Gresham OR 97030-2576 Ph: (503) 665-8116 |
| NPI Number | 1841156775 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841156775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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