| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 351 Nw 4th Ave, Canby, Oregon |
| Authorized Official Name and Position | Michael D Cary (MANAGER/DENTIST) |
| Authorized Official Contact | 5032666844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
351 Nw 4th Ave Canby OR 97013-3505 Ph: (503) 266-6844 | 351 Nw 4th Ave Canby OR 97013-3505 Ph: (503) 266-6844 |
| NPI Number | 1326587122 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326587122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6882 (Oregon) | Primary |
David H Gisborne, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-5596 Fax: 503-263-1637 | |
Bd-canby, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Se 3rd Ct, Canby, OR 97013 Phone: 503-266-2033 | |
C Steven Hagler Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Holly St, Canby, OR 97013 Phone: 503-266-1117 Fax: 503-266-9114 | |
Richard P. Sale, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Nw 3rd Ave, Canby, OR 97013 Phone: 503-266-2705 Fax: 503-266-2973 | |