Organization
GRESHAM FAMILY DENTAL, LLC
Active
Parent organization
GRESHAM FAMILY DENTAL, LLC
Other names
Sleep Dentistry Of Portland-EAST, Floyd H Kasch
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRESHAM FAMILY DENTAL, LLC
Authorized official
MR. BRANDON C. KASCH (MANAGER)
(503) 666-9519
Entity
Organization
Contact information
Practice address
19265 SE STARK ST, SUITE A, PORTLAND, OR 97233-5758
(503) 666-9519
Mailing address
19265 SE STARK ST STE A, PORTLAND, OR 97233-5758
(503) 666-9519
(503) 666-1147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4528
OR
1223G0001X
General Practice Dentistry
D8126
OR
1223G0001X
General Practice Dentistry
D8648
OR
124Q00000X
Dental Hygienist
H1529
OR
Other
Enumeration date
03/21/2007
Last updated
05/29/2026
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