| Bear Creek Pediatric Dentistry | |
|
1150 Crater Lake Ave Suite C Medford OR 97504-6213 | |
| (541) 773-3327 | |
| Not Available |
| Full Name | Bear Creek Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1150 Crater Lake Ave, Medford, Oregon |
| Authorized Official Name and Position | Bren Dixon (MEMBER) |
| Authorized Official Contact | 5417733327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Pediatric Dentistry 1150 Crater Lake Ave Suite C Medford OR 97504-6213 Ph: (541) 773-3327 | Bear Creek Pediatric Dentistry 1150 Crater Lake Ave Suite C Medford OR 97504-6213 Ph: (541) 773-3327 |
| NPI Number | 1396085221 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 03/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396085221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D9739 (Oregon) | Primary |
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