CRISDENTAL MOBILE, LLC - NPI 1043651896 - Dental Hygienist in Roseburg, OR

Q: What is Crisdental Mobile, LLC's NPI number?

The NPI number for Crisdental Mobile, LLC is 1043651896. It was assigned to this organization in the NPPES registry on July 9, 2013.

Q: What is Crisdental Mobile, LLC's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

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About Crisdental Mobile, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRISDENTAL MOBILE, LLC (NPI 1043651896) is a healthcare organization registered as a dental hygienist in Roseburg, Oregon and active in the NPI registry since July 2013. The organization lists Michael James Bratland, Owner, as its authorized official.

NPPES Registry Identity

NPI1043651896

Entity TypeOrganization

Primary Taxonomy124Q00000X

Legal Business NameCRISDENTAL MOBILE, LLC

Location Address2530 NW MEDICAL PARK DRRoseburg, OR 97471-5510

Mailing Address3019 Nw Stewart Pkwy, Ste 304, Box 249Roseburg, OR 97471-1602 · (541) 672-2747 · Fax (541) 672-2757

Phone(541) 673-6511

Fax(541) 672-2757

Organization SubpartYesParent: Crisdental Pc

Authorized OfficialMichael James BratlandOwner · (541) 672-2747

Enumeration DateJuly 9, 2013

✔ NPI 1043651896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

2530 NW MEDICAL PARK DR, Roseburg, OR 97471

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETH MITCHELL DMD

Dentist