| Rogue Dental Sleep Solutions Llc | |
|
124 Ne Evelyn Ave Grants Pass OR 97526-1427 | |
| (206) 818-0492 | |
| Not Available |
| Full Name | Rogue Dental Sleep Solutions Llc |
|---|---|
| Speciality | Dentist |
| Location | 124 Ne Evelyn Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Michael Holm (OWNER) |
| Authorized Official Contact | 2068180492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Dental Sleep Solutions Llc 124 Ne Evelyn Ave Grants Pass OR 97526-1427 Ph: (541) 936-9456 | Rogue Dental Sleep Solutions Llc 124 Ne Evelyn Ave Grants Pass OR 97526-1427 Ph: (206) 818-0492 |
| NPI Number | 1225670623 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 8729415856 |
|---|---|
| Medicare Enrollment ID | O20200228002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225670623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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