|
| |
|
1590 Liberty St Se Salem OR 97302-4346 | |
| (503) 399-7718 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1590 Liberty St Se, Salem, Oregon |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1590 Liberty St Se Salem OR 97302-4346 Ph: (503) 399-7718 | 1590 Liberty St Se Salem OR 97302-4346 Ph: (503) 399-7718 |
| NPI Number | 1952159618 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952159618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Clover Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Mission St Se Ste 150, Salem, OR 97302 Phone: 541-990-0363 | |
Alexander M Zuk Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 E Nob Hill St Se, Salem, OR 97302 Phone: 503-364-9515 Fax: 503-365-9713 | |
Capitol Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Market St Ne, Suite 228, Salem, OR 97301 Phone: 503-585-5205 Fax: 503-581-0043 | |
Lakeview Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 25th St Se, Suite 430, Salem, OR 97302 Phone: 503-370-8778 | |
Salem Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 12th St Se, Salem, OR 97302 Phone: 503-378-1212 | |