| Roane Family Dental | |
|
1673 10th St Ste B West Linn OR 97068-4679 | |
| (503) 657-1215 | |
| (503) 657-8307 |
| Full Name | Roane Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1673 10th St Ste B, West Linn, Oregon |
| Authorized Official Name and Position | Matthew A Roane (OWNER/DENTIST) |
| Authorized Official Contact | 5036571215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roane Family Dental 1673 10th St Ste B West Linn OR 97068-4679 Ph: (503) 657-1215 | Roane Family Dental 1673 10th St Ste B West Linn OR 97068-4679 Ph: (503) 657-1215 |
| NPI Number | 1093081606 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093081606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9064 (Oregon) | Primary |
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