# BAYSIDE DENTAL CARE OF PORTLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891649778
- **Authorized official:** DR. MITCHELL RYAN GRESHAM DDS (GENERAL DENTIST)
- **Authorized official phone:** (806) 206-2183

## Contact information

- **Practice address:** 101 CEDAR DR STE B, PORTLAND, TX 78374-2939
- **Practice address phone:** (361) 643-9557
- **Mailing address:** 101 CEDAR DR STE B, PORTLAND, TX 78374-2939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2026
- **Last updated:** 02/25/2026