| Orthodontic Specialty Care | |
|
1040 29th Ave Sw Albany OR 97321-3416 | |
| (541) 926-4010 | |
| (541) 926-4148 |
| Full Name | Orthodontic Specialty Care |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1040 29th Ave Sw, Albany, Oregon |
| Authorized Official Name and Position | David W Lee (OWNER) |
| Authorized Official Contact | 5419264010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialty Care 1040 29th Ave Sw Albany OR 97321-3416 Ph: (541) 926-4010 | Orthodontic Specialty Care 1040 29th Ave Sw Albany OR 97321-3416 Ph: (541) 926-4010 |
| NPI Number | 1528102738 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528102738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D6359 (Oregon) | Primary |
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Ross Mitchell Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 29th Ave Sw, Albany, OR 97321 Phone: 541-924-1190 Fax: 541-812-0332 | |
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