East Main Dental Center, Llp | |
1123 E Main St Medford OR 97504-7434 | |
(541) 773-3422 | |
(541) 779-2250 |
Full Name | East Main Dental Center, Llp |
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Speciality | Dentist - General Practice |
Location | 1123 E Main St, Medford, Oregon |
Authorized Official Name and Position | Tonya Lynn Sowles (OFFICE MANAGER) |
Authorized Official Contact | 5417733422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Main Dental Center, Llp 1123 E Main St Medford OR 97504-7434 Ph: (541) 773-3422 | East Main Dental Center, Llp 1123 E Main St Medford OR 97504-7434 Ph: (541) 773-3422 |
NPI Number | 1700819596 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700819596 | NPI | - | NPPES |
04407-3 | Other | OR | OMAP PROVIDER NUMBER |
22707-2 | Other | OR | OMAP PROVIDER NUMBER |
28445-5 | Other | OR | OMAP PROVIDER NUMBER |
08594-9 | Other | OR | OMAP PROVIDER NUMBER |
21816-4 | Other | OR | OMAP PROVIDER |
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