Organization · Type 2 NPI
Sutherlin Dental
Dental Clinic/Center · Sutherlin, OR
NPI number
1043456403
Active
Practice location
115 N State St
Sutherlin, OR 97479-9807
Fax (541) 459-4911
Mailing address
PO Box 719
Sutherlin, OR 97479-0719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D6919 (OR) |
Dental Clinic/Center: Definition to come...
About NPI 1043456403
Sutherlin Dental's National Provider Identifier is 1043456403, issued on Jan 6, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sutherlin, OR. The record was last updated on Jan 6, 2009.