Organization · Type 2 NPI
South Lane Children's Dental Clinic
Voluntary or Charitable Agency · Cottage Grove, OR
NPI number
1497190821
Active
Practice location
1275 S River Rd
Cottage Grove, OR 97424-3906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
4 other providers at this address
- Courtney Erin Frainee, RNGeneral Practice Registered Nurse Cottage Grove, OR NPI 1629760103
- Jessica Marie Ostrander, RDH EPPDental Hygienist Cottage Grove, OR NPI 1801350194
- Melissa Ladd, EPDHDental Hygienist Cottage Grove, OR NPI 1043925118
- Tia Rae Morehouse, EPDHDental Hygienist Cottage Grove, OR NPI 1790259679
About NPI 1497190821
South Lane Children's Dental Clinic's National Provider Identifier is 1497190821, issued on Apr 29, 2013. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jul 21, 2022.