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CEDAR HILLS MODERN DENTISTRY PC NPI 1043724917


NPI Information

NPI: 1043724917
Provider Name: CEDAR HILLS MODERN DENTISTRY, PC

Doing Business As: CEDAR HILLS MODERN DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2905 SW CEDAR HILLS BLVD STE 120
BEAVERTON, OR
ZIP 97005
Phone: (503) 396-4071
Get Directions

CEDAR HILLS MODERN DENTISTRY, PC is a general practice dentist in Beaverton, 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. CEDAR HILLS MODERN DENTISTRY, PC NPI is 1043724917. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cedar Hills Modern Dentistry.

The provider's business location address is:

2905 SW CEDAR HILLS BLVD STE 120
BEAVERTON, OR
ZIP 97005-342
Phone: (503) 396-4071
Fax: (503) 396-4071

The provider's authorized official is Kenny Tran .
The authorized official title is Owner Dentist and has the following contact phone number (503) 396-4071.

The enumeration date for this NPI number is 11/29/2017 and was last updated on 3/9/2022.


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 PracticeYes

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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