Smiles On Sandy P.c. | |
6600 Ne Sandy Blvd Portland OR 97213-5250 | |
(503) 284-4723 | |
(503) 284-5827 |
Full Name | Smiles On Sandy P.c. |
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Speciality | Dentist - General Practice |
Location | 6600 Ne Sandy Blvd, Portland, Oregon |
Authorized Official Name and Position | Jon M Daby (PRESIDENT) |
Authorized Official Contact | 5032844723 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles On Sandy P.c. 6600 Ne Sandy Blvd Portland OR 97213-5250 Ph: (503) 284-4723 | Smiles On Sandy P.c. 6600 Ne Sandy Blvd Portland OR 97213-5250 Ph: (503) 284-4723 |
NPI Number | 1457451460 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1457451460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D8475 (Oregon) | Primary |
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Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Sw 3rd Ave, Suite 202, Portland, OR 97204 Phone: 503-541-2580 | |
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