| Brian L Prins Dmd Pc | |
|
1390 Oleander St Ste A Medford OR 97504-5448 | |
| (541) 773-5441 | |
| Not Available |
| Full Name | Brian L Prins Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1390 Oleander St Ste A, Medford, Oregon |
| Authorized Official Name and Position | Brian L Prins (OWNER) |
| Authorized Official Contact | 5417735441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L Prins Dmd Pc 1390 Oleander St Ste A Medford OR 97504-5448 Ph: (541) 773-5441 | Brian L Prins Dmd Pc 1390 Oleander St Ste A Medford OR 97504-5448 Ph: (541) 773-5441 |
| NPI Number | 1861035271 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 1355777046 |
|---|---|
| Medicare Enrollment ID | O20200128001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861035271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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