| Or Specialty Dental Services Llc | |
|
160 Ramsgate Sq S Ste 100 Salem OR 97302-5876 | |
| (503) 362-0500 | |
| Not Available |
| Full Name | Or Specialty Dental Services Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 160 Ramsgate Sq S Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR CRED & PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Or Specialty Dental Services Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Or Specialty Dental Services Llc 160 Ramsgate Sq S Ste 100 Salem OR 97302-5876 Ph: (503) 362-0500 |
| NPI Number | 1508606302 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508606302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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