Dental Professionals of Oregon, P.c.

NPI #1194499715 in Salem, Oregon

Provider Information

NPI Number: 1194499715
Entity Type: Organization
Organization Name: Dental Professionals of Oregon, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF OREGON, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 6, 2021
Last Updated: Aug 6, 2021

Practice Location

Address: 1296 COMMERCIAL ST SE STE 101
City: Salem
State: Oregon
ZIP Code: 97302-4200
Phone: (503) 585-4282

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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