LIBERTY DENTURE CLINIC LLC NPI 1376862953

NPI Information

  • NPI: 1376862953
  • Provider Name: LIBERTY DENTURE CLINIC, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1678 LIBERTY ST SE
    SUITE #202
    SALEM, OR
    ZIP 97302
  • Phone: (503) 363-0629

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NPI Details

LIBERTY DENTURE CLINIC, LLC is a dental clinic center in Salem, OR. LIBERTY DENTURE CLINIC, LLC NPI is 1376862953. The provider is registered as an organization entity type.

The provider's business location address is:

1678 LIBERTY ST SE
SUITE #202
SALEM, OR
ZIP 97302-348
Phone: (503) 363-0629

The provider's authorized official is Oswaldo Gonzalez Cantarero .
The authorized official title is Denturist and has the following contact phone number (503) 363-0629.

The enumeration date for this NPI number is 5/22/2010 and was last updated on 5/22/2010.

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/CenterDentalDT-DO-10122043OREGONYes

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: 11/21/2025

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