Acorn Dentistry For Kids - West Salem, Llc | |
1049 Edgewater St Nw Salem OR 97304-4046 | |
(503) 874-4560 | |
(503) 874-4562 |
Full Name | Acorn Dentistry For Kids - West Salem, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1049 Edgewater St Nw, Salem, Oregon |
Authorized Official Name and Position | Timothy Richardson (OWNER) |
Authorized Official Contact | 5038744560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Acorn Dentistry For Kids - West Salem, Llc 204 N 1st St Ste E Silverton OR 97381-1635 Ph: (503) 874-4560 | Acorn Dentistry For Kids - West Salem, Llc 1049 Edgewater St Nw Salem OR 97304-4046 Ph: (503) 874-4560 |
NPI Number | 1043869191 |
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Provider Enumeration Date | 09/10/2019 |
Last Update Date | 09/10/2019 |
Identifier | Type | State | Issuer |
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1043869191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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