| Goode Family Dental Llc | |
|
7417 Crater Lake Hwy White City OR 97503-1662 | |
| (541) 830-0043 | |
| Not Available |
| Full Name | Goode Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7417 Crater Lake Hwy, White City, Oregon |
| Authorized Official Name and Position | Michael Goode (OWNER) |
| Authorized Official Contact | 5418300043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goode Family Dental Llc 7417 Crater Lake Hwy White City OR 97503-1662 Ph: (541) 830-0043 | Goode Family Dental Llc 7417 Crater Lake Hwy White City OR 97503-1662 Ph: (541) 830-0043 |
| NPI Number | 1154694776 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154694776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9436 (Oregon) | Primary |
Andrew Bjork Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7417 Crater Lake Hwy, White City, OR 97503 Phone: 435-650-7315 |