Crisdental Grants Pass LLC
NPI 1790239697ActiveOrganization· Dentist, General Practice· Grants Pass, OR
Dentist, General Practice in Grants Pass, Oregon, registered in NPPES in August 2016, part of Crisdental Group PC. The authorized official on file is Michael J. Bratland, DMD, Owner.
Overview
| NPI | 1790239697 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Crisdental Group PC |
| NPI issued | Aug 9, 2016 |
| Last updated in NPPES | Aug 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D8594 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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