| Dentist In Oregon Llc | |
|
3555 Navarre Ave Ste 12 Oregon OH 43616-3459 | |
| (803) 830-6881 | |
| (803) 520-0324 |
| Full Name | Dentist In Oregon Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3555 Navarre Ave Ste 12, Oregon, Ohio |
| Authorized Official Name and Position | Sreekanth Reddy Emani (MANAGER) |
| Authorized Official Contact | 8038306881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist In Oregon Llc 3555 Navarre Ave Ste 12 Oregon OH 43616-3459 Ph: (803) 830-6881 | Dentist In Oregon Llc 3555 Navarre Ave Ste 12 Oregon OH 43616-3459 Ph: (803) 830-6881 |
| NPI Number | 1700644358 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700644358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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