| Downtown Dental Care | |
|
511 Sw 10th Ave Suite 1114 Portland OR 97205-2732 | |
| (503) 228-4122 | |
| (503) 228-2036 |
| Full Name | Downtown Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 Sw 10th Ave, Portland, Oregon |
| Authorized Official Name and Position | Lance D Bailey (DENTIST/OWNER) |
| Authorized Official Contact | 5032284122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental Care 511 Sw 10th Ave Suite 1114 Portland OR 97205-2732 Ph: (503) 228-4122 | Downtown Dental Care 511 Sw 10th Ave Suite 1114 Portland OR 97205-2732 Ph: (503) 228-4122 |
| NPI Number | 1518108885 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518108885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8578 (Oregon) | Primary |
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