| Crisdental Lincoln City, Llc | |
|
2604 Ne Highway 101 Lincoln City OR 97367-4460 | |
| (541) 492-1687 | |
| Not Available |
| Full Name | Crisdental Lincoln City, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2604 Ne Highway 101, Lincoln City, Oregon |
| Authorized Official Name and Position | Michael J Bratland (OWNER) |
| Authorized Official Contact | 5414921687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisdental Lincoln City, Llc Po Box 1361 Roseburg OR 97470-0334 Ph: (541) 492-1687 | Crisdental Lincoln City, Llc 2604 Ne Highway 101 Lincoln City OR 97367-4460 Ph: (541) 492-1687 |
| NPI Number | 1154774677 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154774677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8594 (Oregon) | Primary |
Oregon Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8815 Keys Place, Lincoln City, OR 97367 Phone: 541-351-8069 Fax: 541-418-4311 | |
Lincoln City Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Se 1st St, Lincoln City, OR 97367 Phone: 541-994-8935 | |
Lakeside Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-994-8135 Fax: 541-994-8136 | |
Lakeside Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 Phone: 541-994-8135 Fax: 541-994-8136 |