Dentistry For Children Nw Llc in Eugene - Pediatric Dentistry

Dentistry For Children Nw Llc - NPI 1801902101

Dentistry For Children Nw Llc is a Pediatric Dentistry in Eugene, Oregon. Dentistry For Children Nw Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dentistry For Children Nw Llc is 1801902101. The last update date is 2020-08-22.

Dentistry For Children Nw Llc's current location address is 2215 Willamette St A, Eugene, Oregon. You can contact this provider via phone number 5413454076 and fax number 5416864834. The mailing address for Dentistry For Children Nw Llc is 2215 Willamette St A, Eugene, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dentistry For Children Nw Llc
Address 2215 Willamette St A, Eugene, Oregon
Phone Number 5413454076
Fax Number 5416864834
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Wickwire B Lynsey
Telephone Number 5413454076

NPI Number Detail

NPI Number 1801902101
Provider Enumeration Date 2006-08-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2215 Willamette St A
City Eugene
State Oregon (OR)
Post Code 97405
Phone Number 5413454076
Fax Number 5416864834

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 5897
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5897 OR BOARD OF DENTISTRY

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FAQs about Dentistry For Children Nw Llc

What is the unique 10-digit identification code assigned to Dentistry For Children Nw Llc by the Centers for Medicare & Medicaid Services?

The Dentistry For Children Nw Llc has been issued the NPI (National Provider Identifier) 1801902101, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dentistry For Children Nw Llc is physically located?

The Dentistry For Children Nw Llc is physically situated at the following address: 2215 Willamette St A, Eugene, OR, 97405.

What is Dentistry For Children Nw Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dentistry For Children Nw Llc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

When did Dentistry For Children Nw Llc receive its 1801902101 assignment?

The Dentistry For Children Nw Llc was assigned its 1801902101 on 2006-08-21, which is the date when this unique identifier was issued to the organization.

When was the information related to Dentistry For Children Nw Llc most recently updated or refreshed?

The details pertaining to the Dentistry For Children Nw Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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