Biologic Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8706 Issued in OR

Legal business name

BIOLOGIC DENTAL PC

Practice address

973 NW Saltzman Rd
Portland, OR 97229-5647

Phone

(503) 644-7202

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Peter Dewey, DDS

Title

President

Phone

(503) 265-9847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley R Hagedorn, DMD

  • Dentist
  • Portland, OR
  • NPI 1265710420
  NPD (past)
• Steven D Layne

  • General Practice Dentistry
  • Portland, OR
  • NPI 1417956939
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1982106407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 SE LIEBE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024034",
            "telephone_number": "503-265-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 NW SALTZMAN RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295647",
            "telephone_number": "503-644-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGIC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-265-9847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851455935",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Dawn Binns
• Jessica J Binshaieg, ND
• Andrea Rose Binus, MSW, CSWA
• Bio Foot Reflexology and Massage Center
• Biofourmis Care FL PLLC
• Patrick M Birbeck, PAC
• Alexander Anthony Birch Jr., M.D.
• Alexandra L Birch, B.A.
• Jasmine Birch, MD
• Brook Birchard

• Dental Clinic/Center in Portland, OR
• Providers in Portland, 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 Jun 16, 2018; 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.