Pediatric Dentistry, Rc in Portland - Pediatric Dentistry
Pediatric Dentistry, Rc - NPI 1720240427
Pediatric Dentistry, Rc is a Pediatric Dentistry in Portland, Oregon. Pediatric Dentistry, Rc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry, Rc is 1720240427. The last update date is 2008-06-25.
Pediatric Dentistry, Rc's current location address is 2824 Ne Wasco St, Portland, Oregon. You can contact this provider via phone number 5032845678. The mailing address for Pediatric Dentistry, Rc is 2824 Ne Wasco St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry, Rc |
|---|---|
| Address | 2824 Ne Wasco St, Portland, Oregon |
| Phone Number | 5032845678 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Larsen V Noel |
| Credentials | D.M.D |
| Telephone Number | 5032845678 |
NPI Number Detail
| NPI Number | 1720240427 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 2824 Ne Wasco St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972321772 |
| Phone Number | 5032845678 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D6853 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dentistry, Rc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry, Rc has been issued the NPI (National Provider Identifier) 1720240427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Dentistry, Rc?
The Pediatric Dentistry, Rc is physically situated at 2824 Ne Wasco St, in the city of Portland, state of OR, with the postal code 972321772.
What is Pediatric Dentistry, Rc's area of expertise and its corresponding taxonomy classification?
The Pediatric Dentistry, Rc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720240427 to Pediatric Dentistry, Rc?
The Pediatric Dentistry, Rc received its 1720240427 assignment from the Centers for Medicare & Medicaid Services on 2008-06-25.
As of what date was the information pertaining to Pediatric Dentistry, Rc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pediatric Dentistry, Rc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-25.
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