Southern Oregon Periodontics, Pc in Medford - Dental
Southern Oregon Periodontics, Pc - NPI 1588848055
Southern Oregon Periodontics, Pc is a Dental in Medford, Oregon. Southern Oregon Periodontics, Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Southern Oregon Periodontics, Pc is 1588848055. The last update date is 2007-12-20.
Southern Oregon Periodontics, Pc's current location address is 1762 E Mcandrews Rd Ste B, Medford, Oregon. You can contact this provider via phone number 5417739222. The mailing address for Southern Oregon Periodontics, Pc is 1762 E Mcandrews Rd Ste B, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Oregon Periodontics, Pc |
|---|---|
| Address | 1762 E Mcandrews Rd Ste B, Medford, Oregon |
| Phone Number | 5417739222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chou Chun-Han |
| Credentials | DDS, MS |
| Telephone Number | 5417739222 |
NPI Number Detail
| NPI Number | 1588848055 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2007-12-20 |
Provider Mailing Address Detail
| Address | 1762 E Mcandrews Rd Ste B |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975045577 |
| Phone Number | 5417739222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D8707 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Southern Oregon Periodontics, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Oregon Periodontics, Pc has been assigned the NPI (National Provider Identifier) 1588848055. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Southern Oregon Periodontics, Pc?
The Southern Oregon Periodontics, Pc is physically situated at 1762 E Mcandrews Rd Ste B, in the city of Medford, state of OR, with the postal code 975045577.
What is Southern Oregon Periodontics, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Oregon Periodontics, Pc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Southern Oregon Periodontics, Pc receive its 1588848055 assignment from the Centers for Medicare & Medicaid Services?
The Southern Oregon Periodontics, Pc was assigned its 1588848055 by the Centers for Medicare & Medicaid Services on 2007-12-20.
When was the information pertaining to Southern Oregon Periodontics, Pc most recently updated or revised?
The details related to Southern Oregon Periodontics, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-20.
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