| Pioneer Dental Group Pc | |
|
19129 Beavercreek Rd Oregon City OR 97045-9539 | |
| (503) 305-5051 | |
| (503) 342-6069 |
| Full Name | Pioneer Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19129 Beavercreek Rd, Oregon City, Oregon |
| Authorized Official Name and Position | Raleigh Scott Pioch (PRESIDENT) |
| Authorized Official Contact | 5038677179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Dental Group Pc 19129 Beavercreek Rd Oregon City OR 97045-9539 Ph: (503) 305-5051 | Pioneer Dental Group Pc 19129 Beavercreek Rd Oregon City OR 97045-9539 Ph: (503) 305-5051 |
| NPI Number | 1205213303 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205213303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9000 (Oregon) | Primary |
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