| Dylan P. Booth, Dds, Pc | |
|
2505 Se Hawthorne Blvd Portland OR 97214-3926 | |
| (503) 232-3102 | |
| Not Available |
| Full Name | Dylan P. Booth, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2505 Se Hawthorne Blvd, Portland, Oregon |
| Authorized Official Name and Position | Dylan Booth (OWNER/DENTIST) |
| Authorized Official Contact | 9257861221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan P. Booth, Dds, Pc 2505 Se Hawthorne Blvd Portland OR 97214-3926 Ph: () - | Dylan P. Booth, Dds, Pc 2505 Se Hawthorne Blvd Portland OR 97214-3926 Ph: (503) 232-3102 |
| NPI Number | 1174108567 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174108567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kennedy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3506 N Lombard St, Portland, OR 97217 Phone: 503-289-0230 Fax: 503-286-5055 | |
Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Sw 3rd Ave, Suite 202, Portland, OR 97204 Phone: 503-541-2580 | |
Northeast Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Ne 45th Ave, Portland, OR 97213 Phone: 503-281-0866 Fax: 503-281-0867 | |
Sundberg Center For Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Nw 10th Ave, Portland, OR 97209 Phone: 503-546-9079 Fax: 503-546-5474 | |
Solutions For Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 Se 122nd Ave, Portland, OR 97233 Phone: 503-255-6815 Fax: 503-255-3044 | |
Master Dental Smiles Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12661 Se Powell Blvd Ste C, Portland, OR 97236 Phone: 503-761-1900 | |
Glenna K. Sequeira Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2440 Ne Fremont St, Portland, OR 97212 Phone: 503-249-8771 Fax: 503-249-8772 |