Full Name | Carlton Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 133 E. Main St., Carlton, Oregon |
Authorized Official Name and Position | Linda Miller (BUSINESS MANAGER) |
Authorized Official Contact | 5038527147 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carlton Dental Po Box 220 133 East Main St. Carlton OR 97111-0220 Ph: () - | Carlton Dental 133 E. Main St. Carlton OR 97111 Ph: (503) 852-7714 |
NPI Number | 1295031870 |
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Provider Enumeration Date | 01/31/2011 |
Last Update Date | 01/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295031870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D5513 (Oregon) | Primary |
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Carlton Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Main St, Carlton, OR 97111 Phone: 503-852-7147 |