| Equity Dental Clinics Brookings, Llc | |
|
648 Chetco Ave Brookings OR 97415-8010 | |
| (541) 216-4469 | |
| (541) 216-4725 |
| Full Name | Equity Dental Clinics Brookings, Llc |
|---|---|
| Speciality | Dentist |
| Location | 648 Chetco Ave, Brookings, Oregon |
| Authorized Official Name and Position | Mike Shirtcliff (PRESIDENT) |
| Authorized Official Contact | 5416809028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equity Dental Clinics Brookings, Llc Po Box 1748 Redmond OR 97756-0518 Ph: (541) 216-4469 | Equity Dental Clinics Brookings, Llc 648 Chetco Ave Brookings OR 97415-8010 Ph: (541) 216-4469 |
| NPI Number | 1750113940 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750113940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Brookings Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 5th St, 2, Brookings, OR 97415 Phone: 541-469-5371 | |
Brice Chang Dentist Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Pacific Ave, Brookings, OR 97415 Phone: 541-469-0192 | |
Equity Dental Clinic, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 Chetco Ave, Brookings, OR 97415 Phone: 541-216-4469 Fax: 541-216-4725 | |
Gene Chickinell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 Pacific Avenue, Brookings, OR 97415 Phone: 541-469-4995 Fax: 541-469-4408 | |
Dane E. Smith Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 5th St, Brookings, OR 97415 Phone: 541-469-5373 Fax: 541-412-0177 |