| Mt. Scott Endodontics, Pc | |
|
10365 Se Sunnyside Rd Ste 260 Clackamas OR 97015-5707 | |
| (503) 698-4484 | |
| (503) 698-5033 |
| Full Name | Mt. Scott Endodontics, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10365 Se Sunnyside Rd Ste 260, Clackamas, Oregon |
| Authorized Official Name and Position | Matthew Ralph Baumgarth (PRESIDENT/ENDODONTIST) |
| Authorized Official Contact | 5036984484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Scott Endodontics, Pc 10365 Se Sunnyside Rd Ste 260 Clackamas OR 97015-5707 Ph: (503) 698-4484 | Mt. Scott Endodontics, Pc 10365 Se Sunnyside Rd Ste 260 Clackamas OR 97015-5707 Ph: (503) 698-4484 |
| NPI Number | 1306951074 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306951074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7910 (Oregon) | Primary |
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