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BULL MOUNTAIN FAMILY DENTISTRY PC NPI 1285919555


NPI Information

NPI: 1285919555
Provider Name: BULL MOUNTAIN FAMILY DENTISTRY, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15885 SW 116TH AVE
KING CITY, OR
ZIP 97224
Phone: (503) 901-7345
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BULL MOUNTAIN FAMILY DENTISTRY, PC is a dental clinic center in King City, OR. BULL MOUNTAIN FAMILY DENTISTRY, PC NPI is 1285919555. The provider is registered as an organization entity type.

The provider's business location address is:

15885 SW 116TH AVE
KING CITY, OR
ZIP 97224-647
Phone: (503) 901-7345

The provider's authorized official is Nirvana Schuyler .
The authorized official title is Dentist/president and has the following contact phone number (503) 901-7345.

The enumeration date for this NPI number is 10/18/2011 and was last updated on 10/18/2011.


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
1261QD0000XClinic/CenterDentalD8974OREGONYes

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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