Mountainside General Dentistry in Portland - Dentist
Mountainside General Dentistry - NPI 1215104476
Mountainside General Dentistry is a Dentist in Portland, Oregon. Mountainside General Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mountainside General Dentistry is 1215104476. The last update date is 2008-05-15.
Mountainside General Dentistry's current location address is 3740 Se 122nd Ave, Portland, Oregon. You can contact this provider via phone number 5037622525 and fax number 5037624872. The mailing address for Mountainside General Dentistry is 3740 Se 122nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountainside General Dentistry |
|---|---|
| Address | 3740 Se 122nd Ave, Portland, Oregon |
| Phone Number | 5037622525 |
| Fax Number | 5037624872 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Supnet Lenore |
| Credentials | D.M.D. |
| Telephone Number | 5037622525 |
NPI Number Detail
| NPI Number | 1215104476 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 3740 Se 122nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972363405 |
| Phone Number | 5037622525 |
| Fax Number | 5037624872 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7895 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Mountainside General Dentistry by the Centers for Medicare & Medicaid Services?
The Mountainside General Dentistry has been assigned the NPI (National Provider Identifier) 1215104476. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mountainside General Dentistry is geographically located?
The Mountainside General Dentistry is physically situated at the following location: 3740 Se 122Nd Ave, Portland, OR, 972363405.
What is Mountainside General Dentistry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mountainside General Dentistry is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Mountainside General Dentistry receive the assignment of its 1215104476 from the Centers for Medicare & Medicaid Services?
The Mountainside General Dentistry was issued its 1215104476 by the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date was the information pertaining to Mountainside General Dentistry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountainside General Dentistry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-15.