| Roger C. Dow, Dmd Pc | |
|
140 Ramsgate Sq Se Suite 110 Salem OR 97302 | |
| (503) 363-1712 | |
| (503) 363-4346 |
| Full Name | Roger C. Dow, Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 140 Ramsgate Sq Se, Salem, Oregon |
| Authorized Official Name and Position | Roger C Dow (DENTIST/OWNER) |
| Authorized Official Contact | 5033631712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger C. Dow, Dmd Pc 140 Ramsgate Sq Se Suite 110 Salem OR 97302 Ph: (503) 363-1712 | Roger C. Dow, Dmd Pc 140 Ramsgate Sq Se Suite 110 Salem OR 97302 Ph: (503) 363-1712 |
| NPI Number | 1942551791 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942551791 | NPI | - | NPPES |
| 112784 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D6497 (Oregon) | Primary |
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