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KEIZER RAPIDS DENTAL LLC NPI 1720746860


NPI Information

NPI: 1720746860
Provider Name: KEIZER RAPIDS DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4754 RIVER RD N
KEIZER, OR
ZIP 97303
Phone: (503) 393-6286
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KEIZER RAPIDS DENTAL, LLC is a general practice dentist in Keizer, 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. KEIZER RAPIDS DENTAL, LLC NPI is 1720746860. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4754 RIVER RD N
KEIZER, OR
ZIP 97303-536
Phone: (503) 393-6286

The provider's authorized official is Brian Andrew Ogle .
The authorized official title is Owner and has the following contact phone number (503) 393-6286.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.


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 PracticeYes

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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