| Gateway Dental Clinic, Pc | |
|
10305 Ne Halsey St Portland OR 97220-3954 | |
| (503) 252-0048 | |
| (503) 256-4041 |
| Full Name | Gateway Dental Clinic, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10305 Ne Halsey St, Portland, Oregon |
| Authorized Official Name and Position | Josef Sedivy (PRESIDENT) |
| Authorized Official Contact | 5032520048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Clinic, Pc 10305 Ne Halsey St Portland OR 97220-3954 Ph: (503) 252-0048 | Gateway Dental Clinic, Pc 10305 Ne Halsey St Portland OR 97220-3954 Ph: (503) 252-0048 |
| NPI Number | 1295031813 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295031813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7355 (Oregon) | Primary |
Kennedy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3506 N Lombard St, Portland, OR 97217 Phone: 503-289-0230 Fax: 503-286-5055 | |
Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Sw 3rd Ave, Suite 202, Portland, OR 97204 Phone: 503-541-2580 | |
Master Dental Smiles Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12661 Se Powell Blvd Ste C, Portland, OR 97236 Phone: 503-761-1900 | |
Glenna K. Sequeira Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2440 Ne Fremont St, Portland, OR 97212 Phone: 503-249-8771 Fax: 503-249-8772 |