Active NPI
Advantage Dental Group, PC
- General Practice Dentistry
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ADVANTAGE DENTAL GROUP, PC
- Practice address
- 63140 Britta St Ste D104
Bend, OR 97703-5738 - Phone
- (888) 468-0022
- NPI assigned
- Aug 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Edmondson
- Title
- Manager, Licensing & Credentialing
- Phone
- (629) 999-5014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
63140 Britta St Ste D104
Bend, OR 97703-5738
Mailing address
63140 Britta St Ste D104
Bend, OR 97703-5738
Phone (888) 468-0022
Other practice location 1
10535 NE Glisan St
Portland, OR 97220-4077
Phone (503) 444-2824
Other practice location 2
150 SE 3rd Ave
Hillsboro, OR 97123-4019
Phone (503) 213-1257
Other practice location 3
13831 NW Cornell Rd Ste A
Portland, OR 97229-5465
Phone (503) 614-9999
Other practice location 4
5880 NE Cornell Rd Ste D
Hillsboro, OR 97124-9075
Phone (503) 615-8600
Other practice location 5
7107 S MacAdam Ave
Portland, OR 97219-3075
Phone (503) 293-5454
Other practice location 6
1111 N Roosevelt Dr Ste 110
Seaside, OR 97138-4603
Phone (503) 738-2036
Other practice location 7
3514 NE Broadway St
Portland, OR 97232-1821
Phone (503) 284-1602
Other practice location 8
13831 NW Cornell Rd Ste C
Portland, OR 97229-5465
Phone (503) 718-3762
Other practice location 9
13023 SE 84th Ave
Clackamas, OR 97015-9798
Phone (503) 353-9992
Other names 1
- Advantage Dental Oral Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Advantage Dental Group PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Bandon, OR
- NPI 1447812813
-
- General Practice Dentistry
- Boardman, OR
- NPI 1831741958
Locations
13023 SE 84th Ave
Clackamas, OR 97015
Phone (503) 353-9992
5880 NE Cornell Rd
Ste D
Hillsboro, OR 97124
Phone (503) 615-8600
150 SE 3rd Ave
Hillsboro, OR 97123
Phone (503) 213-1257
7107 S Macadam Ave
Portland, OR 97219
Phone (503) 293-5454
13831 NW Cornell Rd
Ste C
Portland, OR 97229
Phone (503) 644-9797
3514 NE Broadway St
Portland, OR 97232
Phone (503) 284-1602
10535 NE Glisan St
Portland, OR 97220
Phone (503) 254-7351
13831 NW Cornell Rd
Ste A
Portland, OR 97229
Phone (503) 614-9999
1111 N Roosevelt Dr
Ste 110
Seaside, OR 97138
Phone (503) 738-2036
Practitioners & affiliated clinicians
Practitioners 38
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Denturist
- Hillsboro, OR
- NPI 1699524629
-
- Pediatric Dentistry
- Portland, OR
- NPI 1679727929
-
- Dental Hygienist
- Portland, OR
- NPI 1851771588
-
- Dental Hygienist
- Hillsboro, OR
- NPI 1437955671
-
- Dental Hygienist
- Clackamas, OR
- NPI 1770988305
-
- Dental Hygienist
- Portland, OR
- NPI 1104311414
-
- Dental Hygienist
- Clackamas, OR
- NPI 1811298789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1972970671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63140 BRITTA ST STE D104",
"city": "BEND",
"state": "OR",
"postal_code": "977035738",
"telephone_number": "888-468-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63140 BRITTA ST STE D104",
"city": "BEND",
"state": "OR",
"postal_code": "977035738",
"telephone_number": "888-468-0022"
}
],
"practiceLocations": [
{
"address_1": "10535 NE Glisan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972204077",
"country_code": "US",
"telephone_number": "503-444-2824",
"fax_number": "503-444-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 SE 3rd Ave",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971234019",
"country_code": "US",
"telephone_number": "503-213-1257",
"fax_number": "503-213-1258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13831 NW Cornell Rd Ste A",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972295465",
"country_code": "US",
"telephone_number": "503-614-9999",
"fax_number": "503-439-1299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5880 NE Cornell Rd Ste D",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971249075",
"country_code": "US",
"telephone_number": "503-615-8600",
"fax_number": "503-681-8691",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7107 S MacAdam Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972193075",
"country_code": "US",
"telephone_number": "503-293-5454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 N Roosevelt Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Seaside",
"state": "OR",
"postal_code": "971384603",
"country_code": "US",
"telephone_number": "503-738-2036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3514 NE Broadway St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972321821",
"country_code": "US",
"telephone_number": "503-284-1602",
"fax_number": "503-284-1587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13831 NW Cornell Rd Ste C",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972295465",
"country_code": "US",
"telephone_number": "503-718-3762",
"fax_number": "503-718-3766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13023 SE 84th Ave",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970159798",
"country_code": "US",
"telephone_number": "503-353-9992",
"fax_number": "503-513-0747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANTAGE DENTAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-28",
"last_updated": "2023-01-03",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "MANAGER, LICENSING & CREDENTIALING",
"authorized_official_telephone_number": "629-999-5014"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advantage Dental Oral Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advantage Dental Oral Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.