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David Pettit

Denturist β€’ Gresham, OR

Active NPI 1124620802 Individual Practitioner Male Practitioner
Practice location in NPPES

1584 Ne 8th St Ste 208
Gresham, OR 970305746

Call 5032300207 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1584 Ne 8th St Ste 208

Gresham, OR 970305746

Telephone 5032300207
Fax 5032300208
Organization at the Same NPPES Address or Phone
First Impressions Denture Studio Facility NPI 1992307367

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

3 active clinicians are listed under Denturist with a practice address in Gresham, OR (126 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-08
Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address July 08, 2025

Registered at 1584 NE 8TH ST STE 208, GRESHAM, OR 970305746 (Tel: 5032300207)

πŸ“
Updated Practice Location April 23, 2025

Registered at 1584 NE 8TH ST STE 208, GRESHAM, OR 970305746 (Tel: 5032300207)

βœ…
NPI Profile Active November 09, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 09, 2020

Registered at 200 NE 20TH AVE STE 100, PORTLAND, OR 972323094 (Tel: 5032300207)

πŸ“
Business Mailing Address (Initial Record) November 09, 2020

Registered at 200 NE 20TH AVE STE 100, PORTLAND, OR 972323094 (Tel: 5032300207)

πŸ‘€
Provider Name / Credentials (Initial Record) November 09, 2020

Recorded as DAVID PETTIT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Denturist

🟒
Initial NPI Registration & Enumeration November 09, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124620802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2020
Last Update: July 08, 2025
Sole Proprietor: Yes

Mailing Address

1584 Ne 8th St Ste 208

Gresham, OR 970305746

Phone: 5032300207

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.