| Skyline Oral Facial And Dental Implant Surgery | |
|
11786 Sw Barnes Rd Ste 110 Portland OR 97225-5926 | |
| (503) 924-2323 | |
| Not Available |
| Full Name | Skyline Oral Facial And Dental Implant Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11786 Sw Barnes Rd Ste 110, Portland, Oregon |
| Authorized Official Name and Position | Jason Faler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5034446444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Oral Facial And Dental Implant Surgery 11786 Sw Barnes Rd Ste 110 Portland OR 97225-5926 Ph: (503) 924-2323 | Skyline Oral Facial And Dental Implant Surgery 11786 Sw Barnes Rd Ste 110 Portland OR 97225-5926 Ph: (503) 924-2323 |
| NPI Number | 1376310359 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376310359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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