EAST PORTLAND DENTISTRY - NPI 1255544417

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About East Portland Dentistry NPPES

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

EAST PORTLAND DENTISTRY (NPI 1255544417) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Cindy M Keller, Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1255544417

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEAST PORTLAND DENTISTRY

Location Address9 NE 120TH AVEPortland, OR 97220-2348

Mailing Address9 Ne 120th AvePortland, OR 97220-2348 · (503) 255-2424 · Fax (503) 253-0150

Phone(503) 255-2424

Fax(503) 253-0150

Organization SubpartNo

Authorized OfficialCindy M KellerOffice Coordinator · (503) 255-2424

Enumeration DateMay 7, 2007

Last NPPES UpdateJanuary 28, 2016

✔ NPI 1255544417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 380578

Definition

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.

9 NE 120TH AVE, Portland, OR 97220

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Other Identifiers 1

Other1851458533OR · Durable Medical Equipment & Medical Supplies

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