person
Dr. Gregory Peary Stafford, DDS
Pediatric Dentist in Portland, Oregon
NPI 1396751475

Gregory Peary Stafford is a Pediatric Dentist based in Beaverton, OR and is specialized in Pediatric Dentistry. Gregory Peary Stafford practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Gregory Peary Stafford is 1396751475 and holds a License No. D6558 (Oregon).

The current practice location address for Gregory Peary Stafford is 10102 Ne Glisan St, Portland, OR and can be reached out via phone at 503-257-5959 and via fax at 503-408-1472.

Location: 10102 Ne Glisan St, Portland, OR, 97005-4218
person
Provider Profile Details
NPI Number
1396751475
Provider Name
Gregory Peary Stafford
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10102 Ne Glisan St, Portland, OR, 97005-4218
Phone Number
503-257-5959
Fax Number
503-408-1472
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10102 Ne Glisan St
City
State
Zip
97220-4456
Phone Number
503-257-5959
Fax Number
503-408-1472
person
Provider Business Mailing Address Details
Address
10102 Ne Glisan St
City
State
Zip
97220-4456
Phone Number
503-257-5959
Fax Number
503-408-1472
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D6558 (Oregon)
Definition
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.
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