| Lincoln Dental, Pc | |
|
2101 Se Cesar E. Chavez Blvd. Portland OR 97214 | |
| (503) 234-6148 | |
| (503) 233-8588 |
| Full Name | Lincoln Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2101 Se Cesar E. Chavez Blvd., Portland, Oregon |
| Authorized Official Name and Position | D Hamilton Sims (OWNER/DENTIST) |
| Authorized Official Contact | 5032346148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Dental, Pc 2101 Se Cesar E. Chavez Blvd. Portland OR 97214 Ph: (503) 234-6148 | Lincoln Dental, Pc 2101 Se Cesar E. Chavez Blvd. Portland OR 97214 Ph: (503) 234-6148 |
| NPI Number | 1356508014 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356508014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8331 (Oregon) | Primary |
| 1223G0001X | Dentist - General Practice | D8631 (Oregon) | Secondary |
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