Organization · Type 2 NPI
Eastern Oregon Dental Clinic LLC
General Practice Dentistry · Ontario, OR
NPI number
1609043157
Active
Practice location
475 SW 12th St
Ontario, OR 97914-3201
Fax (541) 889-2904
Mailing address
478 SW 12th St
Ontario, OR 97914-3202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D9048 (OR) |
| Dentist | 122300000X | D6574 (OR) |
| Dentist | 122300000X | D7219 (OR) |
| Endodontics | 1223E0200X | D9048 (OR) |
| Endodontics | 1223E0200X | D6574 (OR) |
| Endodontics | 1223E0200X | D7219 (OR) |
| General Practice Dentistry | 1223G0001X | D9048 (OR) |
| General Practice Dentistry Primary | 1223G0001X | D6574 (OR) |
| General Practice Dentistry | 1223G0001X | D7219 (OR) |
| Periodontics | 1223P0300X | D6574 (OR) |
| Periodontics | 1223P0300X | D9048 (OR) |
| Periodontics | 1223P0300X | D7219 (OR) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D9048 (OR) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D6574 (OR) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D7219 (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
Other general practice dentistry providers in Ontario
About NPI 1609043157
Eastern Oregon Dental Clinic LLC's National Provider Identifier is 1609043157, issued on May 14, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ontario, OR. The record was last updated on May 14, 2008.