Dental Professionals of Oregon, P.c.

NPI #1902567563 in Keizer, Oregon

Provider Information

NPI Number: 1902567563
Entity Type: Organization
Organization Name: Dental Professionals of Oregon, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 5, 2022
Last Updated: Jan 5, 2022

Practice Location

Address: 4575 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4645
Phone: (503) 393-2651

Authorized Official

Name: HILLARY THULL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

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

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