Canterbury Dental, Llc in Tigard - General Practice
Canterbury Dental, Llc - NPI 1821104407
Canterbury Dental, Llc is a General Practice in Tigard, Oregon. Canterbury Dental, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Canterbury Dental, Llc is 1821104407. The last update date is 2020-08-22.
Canterbury Dental, Llc's current location address is 14465 Sw Pacific Hwy, Tigard, Oregon. You can contact this provider via phone number 5036209333 and fax number 5036205355. The mailing address for Canterbury Dental, Llc is 14465 Sw Pacific Hwy, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canterbury Dental, Llc |
|---|---|
| Address | 14465 Sw Pacific Hwy, Tigard, Oregon |
| Phone Number | 5036209333 |
| Fax Number | 5036205355 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stander Leralph Carvel |
| Credentials | DMD |
| Telephone Number | 5036209333 |
NPI Number Detail
| NPI Number | 1821104407 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14465 Sw Pacific Hwy |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972243662 |
| Phone Number | 5036209333 |
| Fax Number | 5036205355 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6800 |
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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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What is the unique 10-digit identifier code assigned to Canterbury Dental, Llc by the Centers for Medicare & Medicaid Services?
The Canterbury Dental, Llc has been issued the NPI (National Provider Identifier) 1821104407 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Canterbury Dental, Llc is located?
The Canterbury Dental, Llc is situated at the following address: 14465 Sw Pacific Hwy, Tigard, OR, 972243662.
What is Canterbury Dental, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Canterbury Dental, Llc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821104407 to Canterbury Dental, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1821104407 to Canterbury Dental, Llc on 2006-08-23.
When was the information pertaining to Canterbury Dental, Llc most recently updated or revised?
The details related to Canterbury Dental, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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