| Angellift Dental Center | |
|
781 Ne 7th St B Grants Pass OR 97526-1654 | |
| (541) 474-1100 | |
| (541) 474-1103 |
| Full Name | Angellift Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 781 Ne 7th St, Grants Pass, Oregon |
| Authorized Official Name and Position | Jim B Hales (DENTIST/OWNER) |
| Authorized Official Contact | 5414741100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angellift Dental Center 781 Ne 7th St B Grants Pass OR 97526-1654 Ph: (541) 474-1100 | Angellift Dental Center 781 Ne 7th St B Grants Pass OR 97526-1654 Ph: (541) 474-1100 |
| NPI Number | 1790229383 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790229383 | NPI | - | NPPES |
| 6080140001 | Other | OR | MEDICARE DME PTAN |
| 040241 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6777 (Oregon) | Primary |
| 305S00000X | Point Of Service | D6777 (Oregon) | Secondary |
Southern Oregon Dental L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Union Ave, Grants Pass, OR 97527 Phone: 541-476-7781 Fax: 541-471-9366 | |
Richard P Miller Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St, Ste B, Grants Pass, OR 97526 Phone: 541-476-4667 Fax: 541-476-3669 | |
Accessible Mobile Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Sw Ironwood Dr, Grants Pass, OR 97526 Phone: 541-476-8338 | |
Accessible Mobile Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4542 Averill Dr, Grants Pass, OR 97526 Phone: 541-295-1264 | |
Mart D Erickson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-3419 Fax: 541-476-6985 | |
Johnston Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Ne 7th St Ste A, Grants Pass, OR 97526 Phone: 541-479-6623 Fax: 541-479-6776 | |
Daniel J Garey, Dds,ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Ne E St, Grants Pass, OR 97526 Phone: 541-476-2166 Fax: 541-476-2152 |