| Bridgeview Dental Assoc Llc | |
|
511 Sw 10th #1305 Portland OR 97205 | |
| (503) 224-9130 | |
| (503) 224-4549 |
| Full Name | Bridgeview Dental Assoc Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 Sw 10th, Portland, Oregon |
| Authorized Official Name and Position | John N Briles (PRESIDENT OWNER) |
| Authorized Official Contact | 5032249130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeview Dental Assoc Llc 511 Sw 10th #1305 Portland OR 97205 Ph: (503) 224-9130 | Bridgeview Dental Assoc Llc 511 Sw 10th #1305 Portland OR 97205 Ph: (503) 224-9130 |
| NPI Number | 1528120813 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528120813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6346JOHNBRILES (Oregon) | Primary |
| 1223G0001X | Dentist - General Practice | D8116STUARTPARKS (Oregon) | Secondary |
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