SHASTA FAMILY DENTAL NPI 1427574136

NPI Information

NPI: 1427574136
Provider Name: SHASTA FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2504 SHASTA WAY
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 884-5474
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SHASTA FAMILY DENTAL is a dental clinic center in Klamath Falls, OR. SHASTA FAMILY DENTAL NPI is 1427574136. The provider is registered as an organization entity type.

The provider's business location address is:

2504 SHASTA WAY
KLAMATH FALLS, OR
ZIP 97601-356
Phone: (541) 884-5474
Fax: (541) 882-1461

The provider's authorized official is Mindy Ann Brown .
The authorized official title is President and has the following contact phone number (541) 884-5474.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.

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	D10646	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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