MOLALLA FAMILY DENTAL PC NPI 1023274198

NPI Information

NPI: 1023274198
Provider Name: MOLALLA FAMILY DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
128 ROSS ST
MOLALLA, OR
ZIP 97038
Phone: (503) 829-7677
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MOLALLA FAMILY DENTAL, PC is a dental clinic center in Molalla, OR. MOLALLA FAMILY DENTAL, PC NPI is 1023274198. The provider is registered as an organization entity type.

The provider's business location address is:

128 ROSS ST
MOLALLA, OR
ZIP 97038-390
Phone: (503) 829-7677

The provider's authorized official is Jonathan Christopher Mcneil .
The authorized official title is President and has the following contact phone number (503) 829-7677.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 7/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D9142	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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