Gladstone Smiles Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GLADSTONE SMILES DENTISTRY PC

Doing business as

Gladstone Smiles Dentistry

Practice address

20140 McLoughlin Blvd
Gladstone, OR 97027

Phone

(503) 420-3454

Fax

(503) 420-3454

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eric Tutt, DMD

Title

Owner Dentist

Phone

(714) 845-8701

Specialties & licenses 1

Addresses

Other names 1

• Gladstone Smiles Dentistry Doing business as

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1376036764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20140 MCLOUGHLIN BLVD",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "97027",
            "telephone_number": "503-420-3454",
            "fax_number": "503-420-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE SMILES DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "TUTT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-845-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladstone Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gladstone Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gladstone Chiropractic Center
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• Gladstone School District
• Traci Goodrich, REGISTERED ASSOCIATE
• Goshus Aura Senior Nail Spa
• Kathleen Stoddard Gould
• Theresa Ann Graham
• Diana Grum, MSSA, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.