| Elgin Family Dental | |
|
570 S. 8th Ave Elgin OR 97827 | |
| (541) 437-6321 | |
| Not Available |
| Full Name | Elgin Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 570 S. 8th Ave, Elgin, Oregon |
| Authorized Official Name and Position | Shantay S Mayes (OFFICE MANAGER) |
| Authorized Official Contact | 3032290004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elgin Family Dental Po Box 929 Elgin OR 97827-0929 Ph: (541) 437-6321 | Elgin Family Dental 570 S. 8th Ave Elgin OR 97827 Ph: (541) 437-6321 |
| NPI Number | 1548606841 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548606841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9190 (Oregon) | Primary |
Elgin Family Dental Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 570 S 8th Ave, Elgin, OR 97827 Phone: 971-275-2206 |