The Grove Dental GP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE GROVE DENTAL GP

Doing business as

The Grove Dental GP

Practice address

1235 NE 6TH St
Grants Pass, OR 97526-1286

Phone

(541) 492-1687

Fax

(541) 418-4311

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By 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

Michasel Jacob Bratland, DMD

Title

Owner

Phone

(541) 643-6772

Specialties & licenses 1

Addresses

Other names 1

• The Grove Dental GP Doing business as

Locations

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1659107357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700360",
            "telephone_number": "541-492-1687",
            "fax_number": "541-418-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261286",
            "telephone_number": "541-492-1687",
            "fax_number": "541-418-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE DENTAL GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "BRATLAND",
        "authorized_official_first_name": "MICHASEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-643-6772",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Dental GP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Jay Terpening, PHARM D.
• Allison Terrazzano
• Samantha Tevis
• Thank You Daddy, LLC (Pacific Living Centers of Grants Pass at Anique)
• Samantha Leigh Thatcher
• The Grove Healing & Wellness Center
• The Suites
• April A Theisen, PA-C
• Margarete Maria Thelen
• Therapeutic Associates Inc (TAI Grants Pass Physical Therapy)

• Dental Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, 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 Sep 10, 2024; 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.