| Macadam Dental | |
|
5331 Sw Macadam Ave Suite 254 Portland OR 97239-6104 | |
| (503) 243-6111 | |
| (503) 243-5201 |
| Full Name | Macadam Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5331 Sw Macadam Ave, Portland, Oregon |
| Authorized Official Name and Position | Kevin R Morich (DENTIST) |
| Authorized Official Contact | 5032436111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macadam Dental 5331 Sw Macadam Ave Suite 254 Portland OR 97239-6104 Ph: (503) 243-6111 | Macadam Dental 5331 Sw Macadam Ave Suite 254 Portland OR 97239-6104 Ph: (503) 243-6111 |
| NPI Number | 1386811719 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386811719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7954 (Oregon) | Primary |
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