Organization · Type 2 NPI

Gresham Family Dental, LLC

General Practice Dentistry · Portland, OR

NPI number 1265557789 Active

Practice location

19265 SE Stark St, Suite A
Portland, OR 97233-5758

Call (503) 666-9519 Map

Mailing address

19265 SE Stark St Ste A
Portland, OR 97233-5758

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D4528 (OR)
General Practice Dentistry	1223G0001X	D8126 (OR)
General Practice Dentistry	1223G0001X	D8648 (OR)
Dental Hygienist	124Q00000X	H1529 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Portland

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NPI record

NPI: 1265557789
Entity type: Organization (Type 2)
Issued: Mar 21, 2007
Last updated: May 29, 2026
Status: Active
Subpart: Yes of Gresham Family Dental, LLC

Other names

<unavail>
Sleep Dentistry of Portland-East · doing business as
Floyd H Kasch · former legal business name

Authorized official

Mr. Brandon C. Kasch
Manager
(503) 666-9519

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265557789

Gresham Family Dental, LLC's National Provider Identifier is 1265557789, issued on Mar 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on May 29, 2026.