Phoenix Family Dentistry is a medicare enrolled dental clinic (Dentist - General Practice) in Phoenix, Oregon. The current practice location for Phoenix Family Dentistry is 205 N Phoenix Rd Ste 410, Phoenix, Oregon. For appointments, you can reach them via phone at
(541) 535-4142. The mailing address for Phoenix Family Dentistry is 205 N Phoenix Rd Ste 410, Phoenix, Oregon and phone number is (541) 535-4142.
Phoenix Family Dentistry is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1265027304. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(541) 535-4142.
Dental Care Clinic Profile
| Full Name | Phoenix Family Dentistry |
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| Speciality | Dentist |
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| Location | 205 N Phoenix Rd Ste 410, Phoenix, Oregon |
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| Authorized Official Name and Position | Jamie White (OWNER/GENERAL DENTIST) |
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| Authorized Official Contact | 5415354142 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phoenix Family Dentistry
205 N Phoenix Rd Ste 410
Phoenix
OR 97535-9104
Ph: (541) 535-4142 | Phoenix Family Dentistry
205 N Phoenix Rd Ste 410
Phoenix
OR 97535-9104
Ph: (541) 535-4142 |
NPI Details:
| NPI Number | 1265027304 |
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| Provider Enumeration Date | 03/01/2021 |
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| Last Update Date | 11/02/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0446690010 |
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| Medicare Enrollment ID | O20240430000811 |
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Medical Identifiers
Medical identifiers for Phoenix Family Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265027304 | NPI | - | NPPES |
| 1437230521 | Other | OR | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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