| Oregon Pip Dental Group, Pc | |
|
419 State St Ste 4 Hood River OR 97031-2075 | |
| (541) 387-8688 | |
| (541) 387-6785 |
| Full Name | Oregon Pip Dental Group, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 419 State St Ste 4, Hood River, Oregon |
| Authorized Official Name and Position | Mellissa Renner (REGIONAL OPERATION MANAGER) |
| Authorized Official Contact | 5415717145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Pip Dental Group, Pc 419 State St Ste 4 Hood River OR 97031-2075 Ph: (541) 387-8688 | Oregon Pip Dental Group, Pc 419 State St Ste 4 Hood River OR 97031-2075 Ph: (541) 387-8688 |
| NPI Number | 1730412149 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730412149 | NPI | - | NPPES |
| 5036470 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D7666 (Oregon) | Primary |
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