NPIMap

Organization Active NPI

Gresham Family Dental, LLC

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1811482193
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GRESHAM FAMILY DENTAL, LLC
Practice address
7202 NE Highway 99 Ste 100
Vancouver, WA 98665-8932
Phone
(360) 800-6609
Fax
(360) 258-8945
NPI assigned
Jun 28, 2018
Organization subpart
Yes
Parent organization
GRESHAM FAMILY DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Laverne A Blair
Title
Insurance Coordinator
Phone
(360) 892-7107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7202 NE Highway 99 Ste 100
Vancouver, WA 98665-8932

Mailing address

7202 NE Highway 99 Ste 100
Vancouver, WA 98665-8932
Phone (360) 800-6609

Other names 2

  • New Day Dental Doing business as
  • Sleep Dentistry Of Vancouver-West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gresham Family Dental LLC4 organizations share this tax ID, including this one
Part of
Gresham Family Dental LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7202 NE Highway 99
Ste 100
Vancouver, WA 98665
Phone (360) 800-6609

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1811482193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 NE HIGHWAY 99 STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658932",
            "telephone_number": "360-800-6609",
            "fax_number": "360-852-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 NE HIGHWAY 99 STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658932",
            "telephone_number": "360-800-6609",
            "fax_number": "360-258-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM FAMILY DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRESHAM FAMILY DENTAL, LLC",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "360-892-7107"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Day Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Dentistry Of Vancouver-West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.