TIMBER DENTAL EAST BURNSIDE NPI 1780140715

NPI Information

TIMBER DENTAL EAST BURNSIDE 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. TIMBER DENTAL EAST BURNSIDE NPI is 1780140715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 SE SANDY BLVD
PORTLAND, OR
ZIP 97214-347
Phone: (503) 419-6499

The provider's authorized official is Ryan Berg .
The authorized official title is Billing Coordinator and has the following contact phone number (503) 419-6288.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 6/11/2019.

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:

Other Identifiers

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