Signature Oregon Dental Partners PC

NPI #1114568029 in Tigard, Oregon

Provider Information

NPI Number
1114568029
Entity Type
Organization
Organization Name
Signature Oregon Dental Partners PC
Subpart
Yes (part of a larger organization)
Parent Organization
SIGNATURE DENTAL PARTNERS LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 1, 2019
Last Updated
Jul 20, 2021

Practice Location

Address
11815 SW KING JAMES PL STE 10
City
Tigard
State
Oregon
ZIP Code
97224-2479
Phone
(503) 433-8256

Authorized Official

Name
MELODY BENNION
Title
DIRECTOR OF INTEGRATIONS
Phone
(480) 234-8490

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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