| Birch Avenue Dental, Inc. | |
|
1325 Birch Ave Cottage Grove OR 97424-1416 | |
| (541) 942-2471 | |
| (541) 942-9318 |
| Full Name | Birch Avenue Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1325 Birch Ave, Cottage Grove, Oregon |
| Authorized Official Name and Position | Park W Mcclung (PRESIDENT) |
| Authorized Official Contact | 5419422471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Avenue Dental, Inc. 1325 Birch Ave Cottage Grove OR 97424-1416 Ph: (541) 942-2471 | Birch Avenue Dental, Inc. 1325 Birch Ave Cottage Grove OR 97424-1416 Ph: (541) 942-2471 |
| NPI Number | 1841363348 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6947 (Oregon) | Primary |
The Grove Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 E Whiteaker Ave, Cottage Grove, OR 97424 Phone: 541-492-1687 Fax: 541-418-4311 | |
L Brent Bitner Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 S Pacific Hwy, Cottage Grove, OR 97424 Phone: 541-942-7934 |