Avenue Dental Care is a Dentist in Gresham, Oregon. Avenue Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for Avenue Dental Care is 1942478904. The last update date is 2008-02-13.
Avenue Dental Care's current location address is 1388 E Powell Blvd, Gresham, Oregon. You can contact this provider via phone number 5034650005. The mailing address for Avenue Dental Care is 1388 E Powell Blvd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avenue Dental Care |
|---|---|
| Address | 1388 E Powell Blvd, Gresham, Oregon |
| Phone Number | 5034650005 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Virk S Mahadeep |
| Credentials | DMD |
| Telephone Number | 5034650005 |
NPI Number Detail
| NPI Number | 1942478904 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 1388 E Powell Blvd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970308004 |
| Phone Number | 5034650005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D8233 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Avenue Dental Care by the Centers for Medicare & Medicaid Services?
The Avenue Dental Care has been assigned the NPI (National Provider Identifier) 1942478904 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Avenue Dental Care?
The Avenue Dental Care is physically situated at 1388 E Powell Blvd, in the city of Gresham, state of OR, with the postal code 970308004.
What is Avenue Dental Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Avenue Dental Care is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Avenue Dental Care receive its 1942478904 assignment from the Centers for Medicare & Medicaid Services?
The Avenue Dental Care was assigned its 1942478904 by the Centers for Medicare & Medicaid Services on 2008-02-13.
When was the information pertaining to Avenue Dental Care most recently updated or revised?
The details related to Avenue Dental Care, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-13.
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