| 14th Avenue Dental Llc | |
|
1025 Bain St Se Ste B Albany OR 97322-5247 | |
| (541) 926-1303 | |
| Not Available |
| Full Name | 14th Avenue Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1025 Bain St Se Ste B, Albany, Oregon |
| Authorized Official Name and Position | Benjamin James (OWNER) |
| Authorized Official Contact | 5416666091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 14th Avenue Dental Llc 1025 Bain St Se Ste B Albany OR 97322-5247 Ph: (541) 926-1303 | 14th Avenue Dental Llc 1025 Bain St Se Ste B Albany OR 97322-5247 Ph: (541) 926-1303 |
| NPI Number | 1740707462 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740707462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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