SOUTH LANE CHILDREN'S DENTAL CLINIC NPI 1497190821

NPI Information

NPI: 1497190821
Provider Name: SOUTH LANE CHILDREN'S DENTAL CLINIC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1275 S RIVER RD
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 520-7137
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SOUTH LANE CHILDREN'S DENTAL CLINIC is a voluntary or charitable in Cottage Grove, OR. SOUTH LANE CHILDREN'S DENTAL CLINIC NPI is 1497190821. The provider is registered as an organization entity type.

The provider's business location address is:

1275 S RIVER RD
COTTAGE GROVE, OR
ZIP 97424-906
Phone: (541) 520-7137

The provider's authorized official is Courtney Jane Long .
The authorized official title is Dental Care Coordinator and has the following contact phone number (541) 520-7137.

The enumeration date for this NPI number is 4/29/2013 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	251V00000X	Voluntary or Charitable			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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