| Hayden Dental | |
|
732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 | |
| (503) 541-2580 | |
| Not Available |
| Full Name | Hayden Dental |
|---|---|
| Speciality | Dentist |
| Location | 732 Sw 3rd Ave, Portland, Oregon |
| Authorized Official Name and Position | Jerry Slaughter (HR) |
| Authorized Official Contact | 5412428904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Dental 1740 W 17th Ave Eugene OR 97402-3619 Ph: () - | Hayden Dental 732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 Ph: (503) 541-2580 |
| NPI Number | 1811158793 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811158793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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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 | |
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