| Hayden Family Dentistry Group | |
|
2157 Broadway St North Bend OR 97459-2329 | |
| (541) 751-1915 | |
| Not Available |
| Full Name | Hayden Family Dentistry Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2157 Broadway St, North Bend, Oregon |
| Authorized Official Name and Position | Cedric Ross Hayden (OWNER) |
| Authorized Official Contact | 5412428904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Family Dentistry Group 1740 W 17th Ave Eugene OR 97402-3619 Ph: () - | Hayden Family Dentistry Group 2157 Broadway St North Bend OR 97459-2329 Ph: (541) 751-1915 |
| NPI Number | 1346464328 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346464328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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