| Salem Periodontal Specialists | |
|
2605 12th Pl Se Salem OR 97302-2576 | |
| (503) 585-4281 | |
| Not Available |
| Full Name | Salem Periodontal Specialists |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2605 12th Pl Se, Salem, Oregon |
| Authorized Official Name and Position | Nancy Seifert (ADMIN) |
| Authorized Official Contact | 5035854281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Periodontal Specialists 2605 12th Pl Se Salem OR 97302-2576 Ph: () - | Salem Periodontal Specialists 2605 12th Pl Se Salem OR 97302-2576 Ph: (503) 585-4281 |
| NPI Number | 1780105304 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780105304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D7271 (Oregon) | Primary |
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