Individual provider · Type 1 NPI

Gregory Peary Stafford, DDS

Pediatric Dentistry · Portland, OR

NPI number 1396751475 Active

Practice location

10102 NE Glisan St
Portland, OR 97220-4456

Call (503) 257-5959 Map

Fax (503) 408-1472

Mailing address

6325 SW Elm Ave
Beaverton, OR 97005-4218

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD6558 (OR)
Pediatric Dentistry 1223P0221XDEOOOO6891 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396751475

Gregory Peary Stafford, DDS's National Provider Identifier is 1396751475, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.