| Advantage Dental Oral Health Center | |
|
300 Tatone Boardman OR 97818 | |
| (541) 945-4008 | |
| (541) 516-4041 |
| Full Name | Advantage Dental Oral Health Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Tatone, Boardman, Oregon |
| Authorized Official Name and Position | Sharon Edmondson (MANAGER, LICENSING AND CREDENTIALIN) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Oral Health Center Po Box 11470 Eugene OR 97440-3670 Ph: (541) 945-4008 | Advantage Dental Oral Health Center 300 Tatone Boardman OR 97818 Ph: (541) 945-4008 |
| NPI Number | 1831741958 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831741958 | NPI | - | NPPES |
| 500768152 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Tatone, Boardman, OR 97818 Phone: 541-481-9311 |