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BEAVERTON ORAL SURGEONS EQUIPMENT LLC NPI 1730229774


NPI Information

NPI: 1730229774
Provider Name: BEAVERTON ORAL SURGEONS EQUIPMENT LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3925 SW 153RD DRIVE
SUITE #100
BEAVERTON, OR
ZIP 97006
Phone: (503) 646-7101
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BEAVERTON ORAL SURGEONS EQUIPMENT LLC is an oral and maxillofacial surgery dentist in Beaverton, OR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BEAVERTON ORAL SURGEONS EQUIPMENT LLC NPI is 1730229774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3925 SW 153RD DRIVE
SUITE #100
BEAVERTON, OR
ZIP 97006
Phone: (503) 646-7101
Fax: (503) 646-7105

The provider's authorized official is Helene M. Sanders .
The authorized official title is Administrator and has the following contact phone number (503) 646-7101.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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