| Maple Dental | |
|
410 E Ellendale Ave Ste 4 Dallas OR 97338-3052 | |
| (971) 900-9163 | |
| Not Available |
| Full Name | Maple Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 E Ellendale Ave Ste 4, Dallas, Oregon |
| Authorized Official Name and Position | Benjamin James (OWNER/DENTIST) |
| Authorized Official Contact | 5416666091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Dental 410 E Ellendale Ave Ste 4 Dallas OR 97338-3052 Ph: (971) 900-9163 | Maple Dental 410 E Ellendale Ave Ste 4 Dallas OR 97338-3052 Ph: (971) 900-9163 |
| NPI Number | 1205519881 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205519881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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