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ACORN DENTISTRY FOR KIDS - SILVERTON LLC NPI 1417407859


NPI Information

NPI: 1417407859
Provider Name: ACORN DENTISTRY FOR KIDS - SILVERTON, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
411 N WATER ST
SILVERTON, OR
ZIP 97381
Phone: (360) 852-0809
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ACORN DENTISTRY FOR KIDS - SILVERTON, LLC is a dental clinic center in Silverton, OR. ACORN DENTISTRY FOR KIDS - SILVERTON, LLC NPI is 1417407859. The provider is registered as an organization entity type.

The provider's business location address is:

411 N WATER ST
SILVERTON, OR
ZIP 97381-625
Phone: (360) 852-0809

The provider's authorized official is Timothy Richardson .
The authorized official title is Owner/manager and has the following contact phone number (360) 852-0809.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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
1261QD0000XClinic/CenterDentalD9577OREGONYes

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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