Gold Beach Family Dental Inc in Gold Beach - Dental
Gold Beach Family Dental Inc - NPI 1538266713
Gold Beach Family Dental Inc is a Dental in Gold Beach, Oregon. Gold Beach Family Dental Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Gold Beach Family Dental Inc is 1538266713. The last update date is 2008-02-13.
Gold Beach Family Dental Inc's current location address is Po Box 772, Gold Beach, Oregon. You can contact this provider via phone number 5412477332 and fax number 5412479204. The mailing address for Gold Beach Family Dental Inc is Po Box 772, Gold Beach, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gold Beach Family Dental Inc |
|---|---|
| Address | Po Box 772, Gold Beach, Oregon |
| Phone Number | 5412477332 |
| Fax Number | 5412479204 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Westfall Wayne Thomas |
| Credentials | DMD |
| Telephone Number | 5412477332 |
NPI Number Detail
| NPI Number | 1538266713 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | Po Box 772 |
|---|---|
| City | Gold Beach |
| State | Oregon (OR) |
| Post Code | 97444 |
| Phone Number | 5412477332 |
| Fax Number | 5412479204 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 4990 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 215277 | OR | OMAP | |
| IJUP6C-00 | OR | OHP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gold Beach Family Dental Inc by the Centers for Medicare & Medicaid Services?
The Gold Beach Family Dental Inc has been issued the NPI (National Provider Identifier) 1538266713 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 Gold Beach Family Dental Inc is located?
The Gold Beach Family Dental Inc is situated at the following address: Po Box 772, Gold Beach, OR, 97444.
What is Gold Beach Family Dental Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gold Beach Family Dental Inc is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did Gold Beach Family Dental Inc receive its 1538266713 assignment from the Centers for Medicare & Medicaid Services?
The Gold Beach Family Dental Inc was assigned its 1538266713 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gold Beach Family Dental Inc most recently updated or refreshed?
The details pertaining to the Gold Beach Family Dental Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-13.