| Nevills Family Dentistry, Pc | |
|
18540 Sw Vincent St Aloha OR 97078-1578 | |
| (503) 649-3232 | |
| (503) 649-0362 |
| Full Name | Nevills Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18540 Sw Vincent St, Aloha, Oregon |
| Authorized Official Name and Position | David Eugene Nevills (PRESIDENT) |
| Authorized Official Contact | 5036493232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevills Family Dentistry, Pc 18540 Sw Vincent St Aloha OR 97078-1578 Ph: (503) 649-3232 | Nevills Family Dentistry, Pc 18540 Sw Vincent St Aloha OR 97078-1578 Ph: (503) 649-3232 |
| NPI Number | 1962747618 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962747618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6095 (Oregon) | Primary |
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