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JOHN BAJUSACK DMD PC NPI 1306538657


NPI Information

NPI: 1306538657
Provider Name: JOHN BAJUSACK DMD, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
511 SW 10TH AVE STE 704
PORTLAND, OR
ZIP 97205
Phone: (503) 227-2883
Get Directions

JOHN BAJUSACK DMD, PC is a general practice dentist in Portland, 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. JOHN BAJUSACK DMD, PC NPI is 1306538657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 SW 10TH AVE STE 704
PORTLAND, OR
ZIP 97205-708
Phone: (503) 227-2883

The provider's authorized official is Jenny Garcia-rocha .
The authorized official title is Credentialing Lead and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 5/24/2023 and was last updated on 5/24/2023.


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 PracticeYes

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

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.