Dental Health Professionals of Oregon, PC

NPI #1952159618 in Salem, Oregon

Provider Information

NPI Number: 1952159618
Entity Type: Organization
Organization Name: Dental Health Professionals of Oregon, PC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL HEALTH PROFESSIONALS OF OREGON, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2024
Last Updated: May 17, 2024

Practice Location

Address: 1590 LIBERTY ST SE
City: Salem
State: Oregon
ZIP Code: 97302-4346
Phone: (503) 399-7718

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

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

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