Provider Type Icon

OEPACKARDDDSPLLC NPI 1073774113


NPI Information

NPI: 1073774113
Provider Name: OEPACKARDDDSPLLC

Doing Business As: RIVER DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9013 NE HIGHWAY 99
SUITE M
VANCOUVER, WA
ZIP 98665
Phone: (360) 566-1400
Get Directions

OEPACKARDDDSPLLC is a general practice dentist in Vancouver, WA. 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. OEPACKARDDDSPLLC NPI is 1073774113. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As River Dental.

The provider's business location address is:

9013 NE HIGHWAY 99
SUITE M
VANCOUVER, WA
ZIP 98665-942
Phone: (360) 566-1400
Fax: (360) 566-1402

The provider's authorized official is Matthew Carl Aldridge .
The authorized official title is Managing Dentist and has the following contact phone number (360) 566-1400.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.


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 PracticeDE00010531WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.