Individual provider · Type 1 NPI
Tyler Bradstreet
General Practice Dentistry · Gresham, OR
NPI number
1699126532
Active
Practice location
23479 SE Stark St, Ste. 102
Gresham, OR 97030-2962
Mailing address
14740 NW Cornell Rd Ste 120
Portland, OR 97229-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D10466 (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.
3 other providers at this address
Other general practice dentistry providers in Gresham
- Matthew Vogel, DMDGeneral Practice Dentistry Gresham, OR NPI 1013321587
- Serena Autumn Waterworth-West, DMDGeneral Practice Dentistry Gresham, OR NPI 1043057334
- Bradley Fuller, DDSGeneral Practice Dentistry Gresham, OR NPI 1073730784
- James Alan Smith, D.M.DGeneral Practice Dentistry Gresham, OR NPI 1093735946
- Donald David Wells, DDSGeneral Practice Dentistry Gresham, OR NPI 1114087491
- Donna G. Louie, DMDGeneral Practice Dentistry Gresham, OR NPI 1144316084
- Kurt David Fuerstenau, DMDGeneral Practice Dentistry Gresham, OR NPI 1164680047
- Isaac Leon Hanset, DMDGeneral Practice Dentistry Gresham, OR NPI 1184223166
About NPI 1699126532
Tyler Bradstreet's National Provider Identifier is 1699126532, issued on Jun 22, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gresham, OR. The record was last updated on Jan 13, 2021.