Allan Russell Pike in Portland - Pediatric Dentistry

Allan Russell Pike - NPI 1346249562

Allan Russell Pike is a Pediatric Dentistry in Portland, Oregon. Allan Russell Pike practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Allan Russell Pike is 1346249562. The last update date is 2007-07-08.

Allan Russell Pike's current location address is 5440 Sw Westgate Dr, Portland, Oregon. You can contact this provider via phone number 5032971711 and fax number 5032972152. The mailing address for Allan Russell Pike is 5440 Sw Westgate Dr, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Allan Russell Pike
Address 5440 Sw Westgate Dr, Portland, Oregon
Phone Number 5032971711
Fax Number 5032972152
Sole Proprietor X
Credentials DDS, MS

NPI Number Detail

NPI Number 1346249562
Provider Enumeration Date 2005-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5440 Sw Westgate Dr
City Portland
State Oregon (OR)
Post Code 972212448
Phone Number 5032971711
Fax Number 5032972152

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 4162
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Allan Russell Pike

What is the unique identifier code issued to Allan Russell Pike by the Centers for Medicare & Medicaid Services (CMS)?

The Allan Russell Pike has been assigned the NPI (National Provider Identifier) 1346249562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Allan Russell Pike?

The Allan Russell Pike is situated at 5440 Sw Westgate Dr, in the city of Portland, state of OR, with the zip code 972212448.

What is Allan Russell Pike'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 Allan Russell Pike is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346249562 to Allan Russell Pike?

The Centers for Medicare & Medicaid Services originally issued the 1346249562 to Allan Russell Pike on 2005-07-19.

As of what date was the information regarding Allan Russell Pike, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Allan Russell Pike, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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