Advantage Dental Oral Health Center | |
300 Tatone Boardman OR 97818 | |
(541) 945-4008 | |
(541) 516-4041 |
Full Name | Advantage Dental Oral Health Center |
---|---|
Speciality | Dentist - General Practice |
Location | 300 Tatone, Boardman, Oregon |
Authorized Official Name and Position | Sharon Edmondson (MANAGER, LICENSING AND CREDENTIALIN) |
Authorized Official Contact | 6299995014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advantage Dental Oral Health Center Po Box 11470 Eugene OR 97440-3670 Ph: (541) 945-4008 | Advantage Dental Oral Health Center 300 Tatone Boardman OR 97818 Ph: (541) 945-4008 |
NPI Number | 1831741958 |
---|---|
Provider Enumeration Date | 07/09/2019 |
Last Update Date | 10/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831741958 | NPI | - | NPPES |
500768152 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Hayden Family Dentistry Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Tatone, Boardman, OR 97818 Phone: 541-481-9311 |