| Mosaic Medical Dental | |
|
1250 Sw Veterans Way Redmond OR 97756-2585 | |
| (541) 923-4462 | |
| (541) 383-1883 |
| Full Name | Mosaic Medical Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1250 Sw Veterans Way, Redmond, Oregon |
| Authorized Official Name and Position | Vanessa Langley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5413833005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Medical Dental 600 Sw Columbia St Ste 6210 Bend OR 97702-1099 Ph: (541) 383-3005 | Mosaic Medical Dental 1250 Sw Veterans Way Redmond OR 97756-2585 Ph: (541) 923-4462 |
| NPI Number | 1942738588 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 05/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942738588 | NPI | - | NPPES |
| 182960 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
John D Beals Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Sw Rimrock Dr, Redmond, OR 97756 Phone: 541-548-5105 Fax: 541-548-0147 | |
Rockpoint Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 7th St, Redmond, OR 97756 Phone: 541-923-4577 | |
Jade L Cherrington Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Sw Rimrock Way, Redmond, OR 97756 Phone: 541-848-9495 | |
Elcik And Bordieri, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 7th St, Redmond, OR 97756 Phone: 541-526-0019 | |
Joshua M. Van Der Bunt, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2127 S Highway 97 Ste 210, Redmond, OR 97756 Phone: 954-249-8066 | |
Jared R. Anderson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Sw Rimrock Dr, Redmond, OR 97756 Phone: 541-923-7633 Fax: 541-923-8733 | |
Heather Campbell Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3818 Sw 21st St Ste 202, Redmond, OR 97756 Phone: 541-923-5927 |