| Ross P. Mitchell D.m.d., Llc | |
|
1030 29th Ave Sw Albany OR 97321-3416 | |
| (541) 924-1190 | |
| Not Available |
| Full Name | Ross P. Mitchell D.m.d., Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1030 29th Ave Sw, Albany, Oregon |
| Authorized Official Name and Position | Ross Paton Mitchell (MANAGER) |
| Authorized Official Contact | 5419241190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross P. Mitchell D.m.d., Llc 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 | Ross P. Mitchell D.m.d., Llc 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 |
| NPI Number | 1194010660 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194010660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D8977 (Oregon) | Primary |
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