NEIGHBORHOOD DENTISTRY NPI 1154768562

NPI Information

NPI: 1154768562
Provider Name: NEIGHBORHOOD DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1109 LIBERTY CIR S
SALEM, OR
ZIP 97306
Phone: (503) 363-8466
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NEIGHBORHOOD DENTISTRY is a dental clinic center in Salem, OR. NEIGHBORHOOD DENTISTRY NPI is 1154768562. The provider is registered as an organization entity type.

The provider's business location address is:

1109 LIBERTY CIR S
SALEM, OR
ZIP 97306-435
Phone: (503) 363-8466
Fax: (503) 485-2986

The provider's authorized official is Bruce Sellers .
The authorized official title is President and has the following contact phone number (503) 363-8466.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D8945	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006311	MEDICAID	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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