| Equity Dental Clinics Burns, Llc | |
|
711 Ponderosa Vlg Burns OR 97720-2315 | |
| (541) 680-9028 | |
| Not Available |
| Full Name | Equity Dental Clinics Burns, Llc |
|---|---|
| Speciality | Dentist |
| Location | 711 Ponderosa Vlg, Burns, 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 Burns, Llc Po Box 1748 Redmond OR 97756-0518 Ph: (541) 680-9028 | Equity Dental Clinics Burns, Llc 711 Ponderosa Vlg Burns OR 97720-2315 Ph: (541) 680-9028 |
| NPI Number | 1568283398 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568283398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Burns Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Adams St, Burns, OR 97720 Phone: 541-573-7778 Fax: 541-573-1191 |