Oregon Community Dental Care

NPI #1629343140 in Winston, Oregon

Provider Information

NPI Number: 1629343140
Entity Type: Organization
Organization Name: Oregon Community Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2012
Last Updated: Mar 16, 2012

Practice Location

Address: 671 SW MAIN ST
City: Winston
State: Oregon
ZIP Code: 97496-6571
Phone: (888) 468-0022

Authorized Official

Name: R. MIKE SHIRTCLIFF, DMD
Title: PRESIDENT/CEO
Phone: (888) 468-0022

Specialties & Taxonomy Codes

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

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