NPI: 1366738858
Provider Name: EUGENE KIDS' DENTIST, LLC
Former Legal Business Name: A KIDZ DENTAL ZONE OF EUGENE, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
4122 QUEST DR.
EUGENE, OR
ZIP 97402
Phone: (541) 844-1667
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EUGENE KIDS' DENTIST, LLC is a pediatric dentistry dentist in Eugene, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EUGENE KIDS' DENTIST, LLC NPI is 1366738858. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is A Kidz Dental Zone Of Eugene, Llc.
The provider's business location address is:
4122 QUEST DR.
EUGENE, OR
ZIP 97402
Phone: (541) 844-1667
The provider's authorized official is Timothy Richardson .
The authorized official title is Dr. / Owner and has the following contact phone number (541) 844-1667.
The enumeration date for this NPI number is 6/22/2011 and was last updated on 6/17/2014.