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DENTAL OUTREACH OREGON NPI 1841441904


NPI Information

NPI: 1841441904
Provider Name: DENTAL OUTREACH OREGON
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
4707 SW KELLY AVE
SUITE 205
PORTLAND, OR
ZIP 97239
Phone: (503) 295-1201
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DENTAL OUTREACH OREGON is a dental public health dentist in Portland, OR. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DENTAL OUTREACH OREGON NPI is 1841441904. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4707 SW KELLY AVE
SUITE 205
PORTLAND, OR
ZIP 97239-252
Phone: (503) 295-1201

The provider's authorized official is Tonia Kennedy Ayres .
The authorized official title is Secretary and has the following contact phone number (503) 295-1201.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


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
11223D0001XDentistDental Public HealthYes

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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