Jerry Allen Rensch in Portland - Orthodontics And Dentofacial Orthopedics
Jerry Allen Rensch - NPI 1639176654
Jerry Allen Rensch is a Orthodontics And Dentofacial Orthopedics in Portland, Oregon. Jerry Allen Rensch practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerry Allen Rensch is 1639176654. The last update date is 2007-07-08.
Jerry Allen Rensch's current location address is 4707 Ne Tillamook St, Portland, Oregon. You can contact this provider via phone number 5022879710 and fax number 5032817098. The mailing address for Jerry Allen Rensch is 4707 Ne Tillamook St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Allen Rensch |
|---|---|
| Address | 4707 Ne Tillamook St, Portland, Oregon |
| Phone Number | 5022879710 |
| Fax Number | 5032817098 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1639176654 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4707 Ne Tillamook St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132057 |
| Phone Number | 5022879710 |
| Fax Number | 5032817098 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4266 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identifier code issued to Jerry Allen Rensch by the Centers for Medicare & Medicaid Services?
The Jerry Allen Rensch has been assigned the NPI (National Provider Identifier) 1639176654. 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 provide the complete physical location address of Jerry Allen Rensch?
The Jerry Allen Rensch is physically situated at 4707 Ne Tillamook St, in the city of Portland, state of OR, with the postal code 972132057.
What is Jerry Allen Rensch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Allen Rensch's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
When was the Jerry Allen Rensch's 1639176654 issued?
The Jerry Allen Rensch's 1639176654 was issued on 2005-07-05.
When was the Jerry Allen Rensch's information last updated?
The Jerry Allen Rensch's information was last updated on 2007-07-08.
NPI Number: 1376546309
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