Midland Family Dentistry in Portland - Dental
Midland Family Dentistry - NPI 1609976745
Midland Family Dentistry is a Dental in Portland, Oregon. Midland Family Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Midland Family Dentistry is 1609976745. The last update date is 2020-08-22.
Midland Family Dentistry's current location address is 1244 Se 122nd Ave, Portland, Oregon. You can contact this provider via phone number 5032548836 and fax number 5032566288. The mailing address for Midland Family Dentistry is 1244 Se 122nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midland Family Dentistry |
|---|---|
| Address | 1244 Se 122nd Ave, Portland, Oregon |
| Phone Number | 5032548836 |
| Fax Number | 5032566288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duvalko V Natalia |
| Credentials | DDS |
| Telephone Number | 5032548836 |
NPI Number Detail
| NPI Number | 1609976745 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1244 Se 122nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972331202 |
| Phone Number | 5032548836 |
| Fax Number | 5032566288 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D7948 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
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What is the unique 10-digit identifier code issued to Midland Family Dentistry by the Centers for Medicare & Medicaid Services?
The Midland Family Dentistry has been assigned the NPI (National Provider Identifier) 1609976745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Midland Family Dentistry is physically located?
The Midland Family Dentistry is physically situated at the following address: 1244 Se 122Nd Ave, Portland, OR, 972331202.
What is Midland Family Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Midland Family Dentistry is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Midland Family Dentistry receive its 1609976745 assignment from the Centers for Medicare & Medicaid Services?
The Midland Family Dentistry was assigned its 1609976745 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information regarding Midland Family Dentistry most recently updated?
The details pertaining to the Midland Family Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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