AUMSVILLE FAMILY DENTISTRY LLC NPI 1114665890

NPI Information

NPI: 1114665890
Provider Name: AUMSVILLE FAMILY DENTISTRY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 38D2054043

Address:
180 MAIN ST
AUMSVILLE, OR
ZIP 97325
Phone: (503) 877-1594
Get Directions

AUMSVILLE FAMILY DENTISTRY LLC is a dental clinic center in Aumsville, OR. AUMSVILLE FAMILY DENTISTRY LLC NPI is 1114665890. The provider is registered as an organization entity type.

The provider's business location address is:

180 MAIN ST
AUMSVILLE, OR
ZIP 97325-806
Phone: (503) 877-1594
Fax: (503) 448-2560

The provider's authorized official is Justin Alton Anderson .
The authorized official title is Dentist/owner and has the following contact phone number (503) 437-5075.

The CLIA number assigned to this NPI record is 38D2054043 - other - rfpd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2022 and was last updated on 5/23/2022.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609485101	OTHER	OREGON	NPI
2	1649684382	OTHER	OREGON	NPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »