Individual provider · Type 1 NPI

Melissa Renee Penn, C.D.A. - E.F.D.A.

Dental Assistant · Portland, OR

NPI number 1447398391 Active

Practice location

1314 NE Grand Ave
Portland, OR 97232-1127

Call (503) 280-2877 Map

Fax (503) 331-3095

Mailing address

145 NE Holland St
Portland, OR 97211-2211

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1447398391

Melissa Renee Penn, C.D.A. - E.F.D.A.'s National Provider Identifier is 1447398391, issued on Feb 2, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.