Organization · Type 2 NPI

Gresham Family Dental, LLC

Dental Clinic/Center · Vancouver, WA

NPI number 1811482193 Active

Practice location

7202 NE Highway 99 Ste 100
Vancouver, WA 98665-8932

Fax (360) 258-8945

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1811482193
Entity type: Organization (Type 2)
Issued: Jun 28, 2018
Last updated: May 29, 2026
Status: Active
Subpart: Yes of Gresham Family Dental, LLC

Other names

<unavail>
New Day Dental · doing business as
Sleep Dentistry of Vancouver-West · doing business as

Authorized official

Laverne A Blair
Insurance Coordinator
(360) 892-7107

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About NPI 1811482193

Gresham Family Dental, LLC's National Provider Identifier is 1811482193, issued on Jun 28, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vancouver, WA. The record was last updated on May 29, 2026.