| Prime Geriatric Dental Care, Pc | |
|
11400 Se 37th Ave Milwaukie OR 97222-5982 | |
| (503) 774-6355 | |
| (503) 659-6325 |
| Full Name | Prime Geriatric Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 11400 Se 37th Ave, Milwaukie, Oregon |
| Authorized Official Name and Position | John T. Oki (SECRETARY) |
| Authorized Official Contact | 5037746355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Geriatric Dental Care, Pc 11400 Se 37th Ave Milwaukie OR 97222-5982 Ph: (503) 774-6355 | Prime Geriatric Dental Care, Pc 11400 Se 37th Ave Milwaukie OR 97222-5982 Ph: (503) 774-6355 |
| NPI Number | 1437538972 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437538972 | NPI | - | NPPES |
| 071332 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7017 (Oregon) | Primary |
Erwin Weichel, Dmd Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Se Harrison St, Milwaukie, OR 97222 Phone: 503-654-5405 Fax: 503-654-5406 | |
Dennis D. Iverson, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-7676 | |
Riverplace Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 Phone: 503-654-5405 | |
N. Dean Gregson, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17655 Se Mcloughlin Blvd Ste D, Milwaukie, OR 97267 Phone: 503-659-1991 | |
Natalija Kokoreva Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Se Washington St, Milwaukie, OR 97222 Phone: 503-654-2101 | |
Geoffrey R Clive Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11082 Se Oak St, Milwaukie, OR 97222 Phone: 503-654-3456 | |
William Behrndt D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-7676 Fax: 503-654-3303 |