Endodontic Specialty Group, P.c.

NPI #1902022783 in Gresham, Oregon

Provider Information

NPI Number: 1902022783
Entity Type: Organization
Organization Name: Endodontic Specialty Group, P.c.
Primary Specialty: Dentist - Endodontics
Enumeration Date: Apr 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1550 NW EASTMAN PKWY
Address 2: SUITE 265
City: Gresham
State: Oregon
ZIP Code: 97030-3858
Phone: (503) 665-0495

Authorized Official

Name: DALE BARKER, DDS
Title: PRESIDENT
Phone: (503) 665-0495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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