| Family Dental Group Of Newport Pc | |
|
123 Se Douglas St Newport OR 97365-4426 | |
| (541) 265-4221 | |
| (541) 574-6552 |
| Full Name | Family Dental Group Of Newport Pc |
|---|---|
| Speciality | Dentist |
| Location | 123 Se Douglas St, Newport, Oregon |
| Authorized Official Name and Position | Kenneth Mark Builder (PRESIDENT) |
| Authorized Official Contact | 5412654221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Group Of Newport Pc 123 Se Douglas St Newport OR 97365 Ph: (541) 265-4221 | Family Dental Group Of Newport Pc 123 Se Douglas St Newport OR 97365-4426 Ph: (541) 265-4221 |
| NPI Number | 1689892465 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689892465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dana Matlock, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Se Douglas St, Newport, OR 97365 Phone: 541-264-2800 Fax: 541-265-8617 | |
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Brent May Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Ne Eads St, Newport, OR 97365 Phone: 541-265-9466 Fax: 541-574-6405 | |
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