| Neighborhood Dentistry | |
|
1109 Liberty Cir S Salem OR 97306-2435 | |
| (503) 363-8466 | |
| (503) 485-2986 |
| Full Name | Neighborhood Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1109 Liberty Cir S, Salem, Oregon |
| Authorized Official Name and Position | Bruce Sellers (PRESIDENT) |
| Authorized Official Contact | 5033638466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Dentistry 1109 Liberty Cir S Salem OR 97306-2435 Ph: (503) 363-8466 | Neighborhood Dentistry 1109 Liberty Cir S Salem OR 97306-2435 Ph: (503) 363-8466 |
| NPI Number | 1154768562 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154768562 | NPI | - | NPPES |
| 006311 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8945 (Oregon) | Primary |
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