| Dental Professionals Of Oregon, P.c. | |
|
1296 Commercial St Se Ste 101 Salem OR 97302-4200 | |
| (503) 585-4282 | |
| Not Available |
| Full Name | Dental Professionals Of Oregon, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1296 Commercial St Se Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Oregon, P.c. 1296 Commercial St Se Ste 101 Salem OR 97302-4200 Ph: () - | Dental Professionals Of Oregon, P.c. 1296 Commercial St Se Ste 101 Salem OR 97302-4200 Ph: (503) 585-4282 |
| NPI Number | 1194499715 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194499715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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