High Desert Dental is a Dental in Ontario, Oregon. High Desert Dental practices all healthcare services and medical treatments related to Dental. The NPI Number for High Desert Dental is 1710194675. The last update date is 2020-08-22.
High Desert Dental's current location address is 271 Sw 13th St, Ontario, Oregon. You can contact this provider via phone number 5418896614 and fax number 5418892164. The mailing address for High Desert Dental is 271 Sw 13th St, Ontario, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | High Desert Dental |
|---|---|
| Address | 271 Sw 13th St, Ontario, Oregon |
| Phone Number | 5418896614 |
| Fax Number | 5418892164 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tipton Rhett |
| Credentials | DMD |
| Telephone Number | 5418896614 |
NPI Number Detail
| NPI Number | 1710194675 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 271 Sw 13th St |
|---|---|
| City | Ontario |
| State | Oregon (OR) |
| Post Code | 979144530 |
| Phone Number | 5418896614 |
| Fax Number | 5418892164 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D7106 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22803 | OR | -- | |
| 75254 | OR | -- | |
| 1720159080 | BEN PETERSON NPI NUMBER | ||
| 231468 | OR | -- | |
| 1578586194 | NPI NUMBER TIPTON |
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What is the unique identification code assigned to High Desert Dental by the Centers for Medicare & Medicaid Services?
The High Desert Dental has been issued the NPI (National Provider Identifier) 1710194675. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of High Desert Dental?
The High Desert Dental is situated at 271 Sw 13Th St, in the city of Ontario, state of OR, with the zip code 979144530.
What is High Desert Dental's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for High Desert Dental is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
On what date did the High Desert Dental receive the assignment of its 1710194675 from the Centers for Medicare & Medicaid Services?
The High Desert Dental was issued its 1710194675 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the details related to High Desert Dental most recently updated or revised?
The information pertaining to High Desert Dental, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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