| Stonebrook Family Dental, Llc | |
|
2236 Pacific Ave Forest Grove OR 97116-2448 | |
| (503) 359-5481 | |
| Not Available |
| Full Name | Stonebrook Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2236 Pacific Ave, Forest Grove, Oregon |
| Authorized Official Name and Position | Robert Lyle Mccullough (OWNER) |
| Authorized Official Contact | 5039648909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebrook Family Dental, Llc 7647 Sw 189th Ave Beaverton OR 97007-7607 Ph: (503) 964-8909 | Stonebrook Family Dental, Llc 2236 Pacific Ave Forest Grove OR 97116-2448 Ph: (503) 359-5481 |
| NPI Number | 1982208559 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982208559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mountain View Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Mountain View Ln, Suite 400, Forest Grove, OR 97116 Phone: 503-357-2158 Fax: 503-357-0248 | |
Smith Dental Forest Grove Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Mountain View Ln Ste 100, Forest Grove, OR 97116 Phone: 503-359-0900 | |
Pacific Oak Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2031 Hawthorne St Ste A, Forest Grove, OR 97116 Phone: 503-357-9122 | |
Vaughn Gray Tidwell Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2236 Pacific Ave, Suite A, Forest Grove, OR 97116 Phone: 503-359-5481 Fax: 503-359-7882 | |
Jonathan Faris Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2031 Hawthorne St Ste B, Forest Grove, OR 97116 Phone: 503-359-4463 | |
Forest Grove Kids' Dentist, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2742 19th Ave, Forest Grove, OR 97116 Phone: 360-852-0809 |