Keizer Station Dental Office | |
5910 Ulali Dr Ne Keizer OR 97303-1500 | |
(800) 813-2000 | |
Not Available |
Full Name | Keizer Station Dental Office |
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Speciality | Dentist |
Location | 5910 Ulali Dr Ne, Keizer, Oregon |
Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
Authorized Official Contact | 8008132000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keizer Station Dental Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Keizer Station Dental Office 5910 Ulali Dr Ne Keizer OR 97303-1500 Ph: (800) 813-2000 |
NPI Number | 1003437245 |
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Provider Enumeration Date | 04/28/2020 |
Last Update Date | 06/23/2022 |
Identifier | Type | State | Issuer |
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1003437245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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