| Brodie Dental Llc | |
|
305 Shafer Ln Jacksonville OR 97530-9681 | |
| (541) 899-8833 | |
| (541) 899-1769 |
| Full Name | Brodie Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 Shafer Ln, Jacksonville, Oregon |
| Authorized Official Name and Position | Scott W Brodie (PARTNER) |
| Authorized Official Contact | 5418998833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brodie Dental Llc 305 Shafer Ln Jacksonville OR 97530-9681 Ph: (541) 899-8833 | Brodie Dental Llc 305 Shafer Ln Jacksonville OR 97530-9681 Ph: (541) 899-8833 |
| NPI Number | 1184807331 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184807331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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