MELISSA M. BEADNELL D.M.D. P.C. NPI 1104138494

NPI Information

NPI: 1104138494
Provider Name: MELISSA M. BEADNELL D.M.D. P.C.

Doing Business As: BEADNELL FAMILY DENTISTRY

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

Specialization: Dental

Address:
1616 SW SUNSET BLVD
SUITE A
PORTLAND, OR
ZIP 97239
Phone: (503) 244-4837
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MELISSA M. BEADNELL D.M.D. P.C. is a dental clinic center in Portland, OR. MELISSA M. BEADNELL D.M.D. P.C. NPI is 1104138494. The provider is registered as an organization entity type.
The provider Is Doing Business As Beadnell Family Dentistry.

The provider's business location address is:

1616 SW SUNSET BLVD
SUITE A
PORTLAND, OR
ZIP 97239-641
Phone: (503) 244-4837

The provider's authorized official is Melissa Marie Hutton-beadnell .
The authorized official title is Dentist and has the following contact phone number (503) 244-4837.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.

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	D9189	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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