Division Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D10228 Issued in OR

Legal business name

DIVISION FAMILY DENTAL LLC

Practice address

2484 NE Division St
Gresham, OR 97030-6020

Phone

(503) 559-6533

NPI assigned

Aug 21, 2016

Last updated

Aug 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Nguyen, DMD

Title

Dentist

Phone

(503) 559-6533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1538614458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306020",
            "telephone_number": "503-559-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-559-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D10228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Dieringer
• Robert Owen Dietz, DC
• Sarah Elizabeth Dilday, PWS/QMHA-I
• Kamilah Dillard
• John William Dillow, BA
• Brent Alan Dixson, DC
• Kimberly DO
• Robert Stanley Dobres, M.S.W., L.C.S.W.
• Docere Naturopathic Medicine LLC
• Gregory Dockery

• Dental Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.