Macadam Dental in Portland - General Practice

Macadam Dental - NPI 1386811719

Macadam Dental is a General Practice in Portland, Oregon. Macadam Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Macadam Dental is 1386811719. The last update date is 2008-05-14.

Macadam Dental's current location address is 5331 Sw Macadam Ave, Portland, Oregon. You can contact this provider via phone number 5032436111 and fax number 5032435201. The mailing address for Macadam Dental is 5331 Sw Macadam Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Macadam Dental
Address 5331 Sw Macadam Ave, Portland, Oregon
Phone Number 5032436111
Fax Number 5032435201
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Morich R Kevin
Credentials DMD
Telephone Number 5032436111

NPI Number Detail

NPI Number 1386811719
Provider Enumeration Date 2008-05-14
Last Updated Date 2008-05-14

Provider Mailing Address Detail

Address 5331 Sw Macadam Ave
City Portland
State Oregon (OR)
Post Code 972396104
Phone Number 5032436111
Fax Number 5032435201

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D7954
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Macadam Dental

What is the unique 10-digit identification code issued to Macadam Dental by the Centers for Medicare & Medicaid Services?

The Macadam Dental has been assigned the NPI (National Provider Identifier) 1386811719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Macadam Dental located?

The Macadam Dental is located at 5331 Sw Macadam Ave, Portland, OR 972396104.

What is Macadam Dental's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Macadam Dental is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386811719 to Macadam Dental?

The Centers for Medicare & Medicaid Services assigned the 1386811719 to Macadam Dental on 2008-05-14.

As of what date were the Macadam Dental's details last updated?

The information pertaining to the Macadam Dental, including its address, specialty, and other details, was most recently updated on 2008-05-14.

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