| Clover Pediatric Dentistry | |
|
2225 Mission St Se Ste 150 Salem OR 97302-1296 | |
| (541) 990-0363 | |
| Not Available |
| Full Name | Clover Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2225 Mission St Se Ste 150, Salem, Oregon |
| Authorized Official Name and Position | Benjamin James (OWNER/DENTIST) |
| Authorized Official Contact | 5416666091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Pediatric Dentistry 2235 Mission St Se Ste 250 Salem OR 97302-1294 Ph: (541) 990-0363 | Clover Pediatric Dentistry 2225 Mission St Se Ste 150 Salem OR 97302-1296 Ph: (541) 990-0363 |
| NPI Number | 1003599689 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003599689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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