Floyd Family Orthodontics Gresham, LLC
Clinic/Center, Dental in Gresham, OR. Organization (NPI-2).
NPI number1922609296
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1922609296
- Entity type
- Organization (NPI-2)
- Legal business name
- Floyd Family Orthodontics Gresham, LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1201 Se 223rd Ave Ste 220Gresham, OR 97030-2578
Phone 618-616-9107
Mailing address
2148 Satter StWest Linn, OR 97068-8335
Authorized official
Lindsey Floyd
Owner
6186169107
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