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NORTH COAST DENTAL CLINIC PC NPI 1154415834


NPI Information

NPI: 1154415834
Provider Name: NORTH COAST DENTAL CLINIC, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 38D1017408

Address:
1085 E HARBOR DR
WARRENTON, OR
ZIP 97146
Phone: (503) 861-3707
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NORTH COAST DENTAL CLINIC, PC is a general practice dentist in Warrenton, OR. The provider is 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. NORTH COAST DENTAL CLINIC, PC NPI is 1154415834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1085 E HARBOR DR
WARRENTON, OR
ZIP 97146-357
Phone: (503) 861-3707
Fax: (503) 861-0568

The provider's authorized official is Jon D Bletscher .
The authorized official title is Officer and has the following contact phone number (503) 861-3707.

The CLIA number assigned to this NPI record is 38D1017408 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/6/2008.


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
11223G0001XDentistGeneral PracticeD5837OREGONYes

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

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