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ROGUE VALLEY FAMILY DENTISTRY LLC NPI 1265815799


NPI Information

NPI: 1265815799
Provider Name: ROGUE VALLEY FAMILY DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1873 WILLIAMS HWY STE 1A
GRANTS PASS, OR
ZIP 97527
Phone: (541) 479-5505
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ROGUE VALLEY FAMILY DENTISTRY LLC is a general practice dentist in Grants Pass, 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. ROGUE VALLEY FAMILY DENTISTRY LLC NPI is 1265815799. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1873 WILLIAMS HWY STE 1A
GRANTS PASS, OR
ZIP 97527-843
Phone: (541) 479-5505
Fax: (541) 479-7891

The provider's authorized official is Andrew Dale Gordon .
The authorized official title is Buisness Manager and has the following contact phone number (541) 269-5353.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD9399OREGONNo
21223G0001XDentistGeneral PracticeD9604OREGONNo
31223G0001XDentistGeneral PracticeD9619OREGONYes

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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