Lifetime Dental Care of Oregon, P.c.

NPI #1275113037 in Hillsboro, Oregon

Provider Information

NPI Number
1275113037
Entity Type
Organization
Organization Name
Lifetime Dental Care of Oregon, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
HEARTLAND DENTAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 14, 2021
Last Updated
Mar 28, 2023

Practice Location

Address
4440 NE CORNELL RD
State
Oregon
ZIP Code
97124-7315
Phone
(503) 648-3125

Authorized Official

Name
HANNAH FISH
Title
CREDENTIALING MANAGER
Phone
(217) 540-5699

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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