GATEWAY DENTAL SURGERY CENTER – NPI #1902287469
Clinic/Center

GATEWAY DENTAL SURGERY CENTER is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1902287469 to GATEWAY DENTAL SURGERY CENTER on June 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY DENTAL SURGERY CENTER below.

NPI Profile for
GATEWAY DENTAL SURGERY CENTER

NPI Number
1902287469
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY DENTAL SURGERY CENTER
Primary location
10535 NE GLISAN ST STE 101
PORTLAND, OR 97220-4095
Phone: (971) 229-8777 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - GATEWAY DENTAL SURGERY CENTER is subpart of another organization.
Authorized Official
KEVIN BOIE
CFO
Phone: (360) 571-8181
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.