SUTHERLIN DENTAL NPI 1043456403

NPI Information

NPI: 1043456403
Provider Name: SUTHERLIN DENTAL

Other Name: MONTE' E. MONTGOMERY DDS, PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
115 N STATE ST
SUTHERLIN, OR
ZIP 97479
Phone: (541) 459-4612
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SUTHERLIN DENTAL is a dental clinic center in Sutherlin, OR. SUTHERLIN DENTAL NPI is 1043456403. The provider is registered as an organization entity type.
The provider Other Name Is Monte' E. Montgomery Dds, Pc.

The provider's business location address is:

115 N STATE ST
SUTHERLIN, OR
ZIP 97479-807
Phone: (541) 459-4612
Fax: (541) 459-4911

The provider's authorized official is Monte' Erell Montgomery .
The authorized official title is President and has the following contact phone number (541) 459-4612.

The enumeration date for this NPI number is 1/6/2009 and was last updated on 1/6/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D6919	OREGON	Yes

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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