Jacob K. Bushnell, DDS LLC

NPI #1932916723 in Newberg, Oregon

Provider Information

NPI Number: 1932916723
Entity Type: Organization
Organization Name: Jacob K. Bushnell, DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 200 N EDWARDS ST
City: Newberg
State: Oregon
ZIP Code: 97132-2709
Phone: (503) 538-7358

Authorized Official

Name: DR. JACOB K BUSHNELL, DDS
Title: DENTIST
Phone: (503) 538-7358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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