Organization · Type 2 NPI

Shady Cove Family Dentistry

General Practice Dentistry · Shady Cove, OR

NPI number 1376819656 Active

Practice location

21300 Hwy 62
Shady Cove, OR 97539-9717

Mailing address

PO Box 1150, 21300 Highway 62
Shady Cove, OR 97539-1150

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10-00527.0 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

About NPI 1376819656

Shady Cove Family Dentistry's National Provider Identifier is 1376819656, issued on Mar 30, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shady Cove, OR. The record was last updated on Mar 30, 2012.