Dental Professionals of Oregon, P.c.

NPI #1538718275 in Canby, Oregon

Provider Information

NPI Number: 1538718275
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 5, 2019
Last Updated: Nov 27, 2023

Practice Location

Address: 851 SW 1ST AVE STE 103
City: Canby
State: Oregon
ZIP Code: 97013-3863
Phone: (503) 266-2705

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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