ELITE ENDODONTICS NPI 1063831709

NPI Information

NPI: 1063831709
Provider Name: ELITE ENDODONTICS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
338 NE 181ST AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 339-0019
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ELITE ENDODONTICS is a dental clinic center in Portland, OR. ELITE ENDODONTICS NPI is 1063831709. The provider is registered as an organization entity type.

The provider's business location address is:

338 NE 181ST AVE
PORTLAND, OR
ZIP 97230-618
Phone: (503) 339-0019

The provider's authorized official is Steven Elkhal .
The authorized official title is Endodontist and has the following contact phone number (503) 339-0019.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D8724	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

NPI Synchronization or Removal

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