SUBLIMITY DENTAL NPI 1538434022

NPI Information

  • NPI: 1538434022
  • Provider Name: SUBLIMITY DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 38D0922740
  • Address: 231 NW STARR ST
    SUBLIMITY, OR
    ZIP 97385
  • Phone: (503) 769-5611

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NPI Details

SUBLIMITY DENTAL is a general practice dentist in Sublimity, OR. The provider is 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. SUBLIMITY DENTAL NPI is 1538434022. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

231 NW STARR ST
SUBLIMITY, OR
ZIP 97385-827
Phone: (503) 769-5611

The provider's authorized official is Jeffrey J Gries .
The authorized official title is Dentist/owner and has the following contact phone number (503) 769-5611.

The CLIA number assigned to this NPI record is 38D0922740 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.

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
11223G0001XDentistGeneral PracticeD6698OREGONYes

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: 11/21/2025

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