| Powell Dental Specialties | |
|
12661 Se Powell Blvd Ste D Portland OR 97236-3400 | |
| (503) 760-1880 | |
| (503) 775-6849 |
| Full Name | Powell Dental Specialties |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12661 Se Powell Blvd Ste D, Portland, Oregon |
| Authorized Official Name and Position | Tony Gaby Bassili (ENDODONTIST) |
| Authorized Official Contact | 5034323997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Dental Specialties 12661 Se Powell Blvd Ste D Portland OR 97236-3400 Ph: (503) 760-1880 | Powell Dental Specialties 12661 Se Powell Blvd Ste D Portland OR 97236-3400 Ph: (503) 760-1880 |
| NPI Number | 1306183074 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306183074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D7799 (Oregon) | Primary |
Kennedy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3506 N Lombard St, Portland, OR 97217 Phone: 503-289-0230 Fax: 503-286-5055 | |
Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Sw 3rd Ave, Suite 202, Portland, OR 97204 Phone: 503-541-2580 | |
Master Dental Smiles Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12661 Se Powell Blvd Ste C, Portland, OR 97236 Phone: 503-761-1900 | |
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