Eastern Oregon Dental Clinic Llc in Ontario - Dentist
Eastern Oregon Dental Clinic Llc - NPI 1609043157
Eastern Oregon Dental Clinic Llc is a Dentist in Ontario, Oregon. Eastern Oregon Dental Clinic Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eastern Oregon Dental Clinic Llc is 1609043157. The last update date is 2008-05-14.
Eastern Oregon Dental Clinic Llc's current location address is 478 Sw 12th St, Ontario, Oregon. You can contact this provider via phone number 5418811794 and fax number 5418892904. The mailing address for Eastern Oregon Dental Clinic Llc is 478 Sw 12th St, Ontario, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Oregon Dental Clinic Llc |
|---|---|
| Address | 478 Sw 12th St, Ontario, Oregon |
| Phone Number | 5418811794 |
| Fax Number | 5418892904 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Dahle N Eric |
| Credentials | DMD |
| Telephone Number | 5418811794 |
NPI Number Detail
| NPI Number | 1609043157 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 478 Sw 12th St |
|---|---|
| City | Ontario |
| State | Oregon (OR) |
| Post Code | 979143202 |
| Phone Number | 5418811794 |
| Fax Number | 5418892904 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D9048 |
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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 Eastern Oregon Dental Clinic Llc's 1609043157?
The Eastern Oregon Dental Clinic Llc's NPI (National Provider Identifier) Number is 1609043157. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eastern Oregon Dental Clinic Llc located?
The Eastern Oregon Dental Clinic Llc is located at 478 Sw 12Th St, Ontario, OR 979143202.
What is Eastern Oregon Dental Clinic Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eastern Oregon Dental Clinic Llc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did Eastern Oregon Dental Clinic Llc receive its 1609043157 assignment?
The Eastern Oregon Dental Clinic Llc was assigned its 1609043157 on 2008-05-14, which is the date when this unique identifier was issued to the organization.
When was the information related to Eastern Oregon Dental Clinic Llc most recently updated or refreshed?
The details pertaining to the Eastern Oregon Dental Clinic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-14.
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