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WIKLE DENTISTRY LLC NPI 1174997142


NPI Information

NPI: 1174997142
Provider Name: WIKLE DENTISTRY LLC

Doing Business As: WIKLE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 636-8446
Get Directions

WIKLE DENTISTRY LLC is a general practice dentist in Lake Oswego, 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. WIKLE DENTISTRY LLC NPI is 1174997142. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wikle Family Dental.

The provider's business location address is:

3900 DOUGLAS WAY
LAKE OSWEGO, OR
ZIP 97035-446
Phone: (503) 636-8446
Fax: (503) 636-4446

The provider's authorized official is Aaron Wikle .
The authorized official title is Registered Agent/member/manager and has the following contact phone number (503) 726-8295.

The enumeration date for this NPI number is 11/13/2015 and was last updated on 11/13/2015.


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
11223G0001XDentistGeneral PracticeD9575OREGONYes

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: 5/5/2024

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