| American Dental L.l.c | |
|
2530 Nw Medical Park Dr Roseburg OR 97471-5510 | |
| (541) 673-6511 | |
| (541) 673-5470 |
| Full Name | American Dental L.l.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2530 Nw Medical Park Dr, Roseburg, Oregon |
| Authorized Official Name and Position | Michael James Bratland (OWNER) |
| Authorized Official Contact | 5416722747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental L.l.c 2530 Nw Medical Park Dr Roseburg OR 97471-5510 Ph: (541) 673-6511 | American Dental L.l.c 2530 Nw Medical Park Dr Roseburg OR 97471-5510 Ph: (541) 673-6511 |
| NPI Number | 1346538469 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346538469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8594 (Oregon) | Primary |
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› Verified 3 days ago
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