LIFESMILE DENTAL GROUP 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. LIFESMILE DENTAL GROUP NPI is 1144416959. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
13305 NW CORNELL RD
SUITE A
PORTLAND, OR
ZIP 97229-817
Phone: (503) 644-5433
Fax: (503) 633-5436
The provider's authorized official is Thomas Hicks .
The authorized official title is President and has the following contact phone number (503) 644-5433.
The enumeration date for this NPI number is 9/15/2007 and was last updated on 9/15/2007.