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NPDG-2 LLC NPI 1184169252


NPI Information

NPI: 1184169252
Provider Name: NPDG-2, LLC

Doing Business As: COLLEGE HILL DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1310 NW HARRISON BLVD
CORVALLIS, OR
ZIP 97330
Phone: (541) 753-8365
Get Directions

NPDG-2, LLC is a general practice dentist in Corvallis, 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. NPDG-2, LLC NPI is 1184169252. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As College Hill Dental Group.

The provider's business location address is:

1310 NW HARRISON BLVD
CORVALLIS, OR
ZIP 97330-916
Phone: (541) 753-8365

The provider's authorized official is Mark P Swensen .
The authorized official title is Owner and has the following contact phone number (541) 753-8365.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 12/28/2016.


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 PracticeD9063OREGONYes
21223G0001XDentistGeneral PracticeD6570OREGONNo
31223G0001XDentistGeneral PracticeD10522OREGONNo

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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