Dental Professionals of Oregon, P.c.

NPI #1497581516 in Salem, Oregon

Provider Information

NPI Number: 1497581516
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: Sep 13, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 1005 13TH ST SE
City: Salem
State: Oregon
ZIP Code: 97302-2506
Phone: (503) 364-7232

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

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

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