Ashley Bennett

Individual provider Active NPI General Practice Dentistry · Portland, OR

NPI 1457767212 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1457767212
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D10414 (OR)
Practice address
5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429
Phone
(503) 292-8996
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
D10414ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Bennett DDS, LLC General Practice Current
since Jan 10, 2021
Accepting new patients
Missouri Dental Professionals, Richard Straus, DMD, PC General Practice Past Accepting new patients

Locations

5415 SW Westgate Dr
Ste 202
Portland, OR 97221
Phone (503) 292-8996

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2014019552 MO
Durable Medical Equipment & Medical Supplies 332B00000X D10414 OR
General Practice Dentistry 1223G0001X D10414 OR Yes

Addresses

Primary practice location

5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429

Mailing address

5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429
Phone (503) 292-8996

Other providers in Portland, OR

All providers in Portland, OR · General Practice Dentistry in Oregon

Sources for this page

Verify at the official NPI Registry.