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ZOOMCARE DENTAL P.C. NPI 1881082097


NPI Information

NPI: 1881082097
Provider Name: ZOOMCARE DENTAL, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 38D2184488

Address:
3130 SE DIVISION STREET
BUILDING 2
PORTLAND, OR
ZIP 97202
Phone: (503) 684-8252
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ZOOMCARE DENTAL, P.C. 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. ZOOMCARE DENTAL, P.C. NPI is 1881082097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3130 SE DIVISION STREET
BUILDING 2
PORTLAND, OR
ZIP 97202
Phone: (503) 684-8252
Fax: (866) 859-8195

The provider's authorized official is William Shipley .
The authorized official title is Director and has the following contact phone number (503) 684-8252.

The CLIA number assigned to this NPI record is 38D2184488 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.


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 PracticeD10037OREGONYes

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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