Paynter Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8720 Issued in OR

Legal business name

PAYNTER FAMILY DENTISTRY, PC

Practice address

445 W Powell Blvd
Gresham, OR 97030-7048

Phone

(503) 666-7000

Fax

(503) 669-2080

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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. Mitchell M Paynter, DMD

Title

President

Phone

(503) 666-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578689659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307048",
            "telephone_number": "503-666-7000",
            "fax_number": "503-669-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307048",
            "telephone_number": "503-666-7000",
            "fax_number": "503-669-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNTER FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNTER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-666-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Patterson, CRM
• Tabitha Patterson, LMT
• Joey Owen Patton
• Sarah Patton
• Monica N Payne, RDH
• Brenda Peck
• Sydney Peck
• Mindy Jenene Pederson
• Pediatric Associates of Gresham PC
• Pediatric Therapy Services Inc

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.