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EUGENE DENTAL GROUP NPI 1306221445


NPI Information

NPI: 1306221445
Provider Name: EUGENE DENTAL GROUP

Other Name: ELIZABETH A. VIVONA DOW

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4750 VILLAGE PLAZA LOOP
SUITE 200
EUGENE, OR
ZIP 97401
Phone: (541) 683-8646
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EUGENE DENTAL GROUP is a general practice dentist in Eugene, 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. EUGENE DENTAL GROUP NPI is 1306221445. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Elizabeth A. Vivona Dow.

The provider's business location address is:

4750 VILLAGE PLAZA LOOP
SUITE 200
EUGENE, OR
ZIP 97401-601
Phone: (541) 683-8646

The provider's authorized official is Elizabeth A. Vivona .
The authorized official title is Dentist and has the following contact phone number (541) 683-8646.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.


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 PracticeD9649OREGONYes

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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