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NEWBERG COMMUNITY DENTAL NPI 1568608313


NPI Information

NPI: 1568608313
Provider Name: NEWBERG COMMUNITY DENTAL
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
615 E 2ND ST
NEWBERG, OR
ZIP 97132
Phone: (503) 538-7717
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NEWBERG COMMUNITY DENTAL is a preferred provider organization in Newberg, OR. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NEWBERG COMMUNITY DENTAL NPI is 1568608313. The provider is registered as an organization entity type.

The provider's business location address is:

615 E 2ND ST
NEWBERG, OR
ZIP 97132-100
Phone: (503) 538-7717
Fax: (503) 538-7727

The provider's authorized official is Mark Rodman .
The authorized official title is Owner and has the following contact phone number (503) 538-7717.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 12/29/2008.


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
1305R00000XPreferred Provider OrganizationD5827OREGONYes

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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