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VISEH SUNDBERG DDS PC NPI 1003181223


NPI Information

NPI: 1003181223
Provider Name: VISEH SUNDBERG DDS PC

Doing Business As: SUNDBERG CENTER FOR DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
222 NW 10TH AVE
PORTLAND, OR
ZIP 97209
Phone: (503) 546-9079
Get Directions

VISEH SUNDBERG DDS PC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. VISEH SUNDBERG DDS PC NPI is 1003181223. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sundberg Center For Dentistry.

The provider's business location address is:

222 NW 10TH AVE
PORTLAND, OR
ZIP 97209-109
Phone: (503) 546-9079
Fax: (503) 546-5474

The provider's authorized official is Kevin Jon Sundberg .
The authorized official title is Vice President and has the following contact phone number (503) 546-9079.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD7735OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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