| Shasta Family Dental | |
|
2504 Shasta Way Klamath Falls OR 97601-4356 | |
| (541) 884-5474 | |
| (541) 882-1461 |
| Full Name | Shasta Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2504 Shasta Way, Klamath Falls, Oregon |
| Authorized Official Name and Position | Mindy Ann Brown (PRESIDENT) |
| Authorized Official Contact | 5418845474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Family Dental 2504 Shasta Way Klamath Falls OR 97601-4356 Ph: (541) 884-5474 | Shasta Family Dental 2504 Shasta Way Klamath Falls OR 97601-4356 Ph: (541) 884-5474 |
| NPI Number | 1427574136 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427574136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10646 (Oregon) | Primary |
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› Verified 6 days ago
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