Sandy Dental PDX

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SANDY DENTAL PDX

Practice address

7836 NE Sandy Blvd
Portland, OR 97213

Phone

(503) 288-3107

NPI assigned

Oct 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phong Thanh Bui, DMD

Title

President

Phone

(503) 473-7284

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1053886580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-288-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-288-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY DENTAL PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-473-7284",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sandsness, STUDENT, HEALTH CARE
• Ann Elizabeth Sandstedt, PT
• Katherine Sandstrom, NP
• Shadrack Marvin Sandvold, LMT
• Sandy Dental PC
• Deanna Sanekane
• Shaneesta Sanfilippo
• Hannah Sanford-Keller, MS, CCC-SLP
• Courtney Sanford
• Jillian Nicole Sanford, MD

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.