| Mart D Erickson Dds Pc | |
|
1224 Ne 7th St Grants Pass OR 97526 | |
| (541) 476-3419 | |
| (541) 476-6985 |
| Full Name | Mart D Erickson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1224 Ne 7th St, Grants Pass, Oregon |
| Authorized Official Name and Position | Mary D Erickson (PRESIDENT DENTIST) |
| Authorized Official Contact | 5414763419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mart D Erickson Dds Pc 1224 Ne 7th St Grants Pass OR 97526 Ph: (541) 476-3419 | Mart D Erickson Dds Pc 1224 Ne 7th St Grants Pass OR 97526 Ph: (541) 476-3419 |
| NPI Number | 1164414470 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164414470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5491 (Oregon) | Primary |
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