Advantage Dental Associates of Crook County, LLC
NPI #1649573585 in Prineville, Oregon
Provider Information
- NPI Number
- 1649573585
- Entity Type
- Organization
- Organization Name
- Advantage Dental Associates of Crook County, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 15, 2010
- Last Updated
- Dec 15, 2010
Practice Location
- Address
- 257 NE 2ND ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1910
- Phone
- (541) 447-5838
Authorized Official
- Name
- DR. R. MIKE SHIRTCLIFF, DMD
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (541) 447-5838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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