DR. MONISHA GAGNEJA B.D.S NPI 1184803751

NPI Information

NPI: 1184803751
Provider Name: DR. MONISHA GAGNEJA, B.D.S
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
830 NE 47TH AVE
PROVIDENCE CHILD CENTRE -SPECIALITY DENT
PORTLAND, OR
ZIP 97213
Phone: (503) 215-1060
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DR. Monisha Gagneja, B.D.S is a pediatric dentistry dentist in Portland, OR. The provider is 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. DR. Monisha Gagneja, B.D.S NPI is 1184803751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

830 NE 47TH AVE
PROVIDENCE CHILD CENTRE -SPECIALITY DENT
PORTLAND, OR
ZIP 97213-212
Phone: (503) 215-1060

The enumeration date for this NPI number is 10/30/2007 and was last updated on 8/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	D9549	OREGON	No
2	1223P0221X	Dentist	Pediatric Dentistry	DE00010814	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1184803751	MEDICAID	WASHINGTON
2	214020	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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