JANTZEN BEACH MODERN DENTISTRY, 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. JANTZEN BEACH MODERN DENTISTRY, PC NPI is 1558792051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jantzen Beach Modern Dentistry.
The provider's business location address is:
12239 N CENTER AVE
PORTLAND, OR
ZIP 97217-806
Phone: (503) 241-1800
Fax: (503) 241-1807
The provider's authorized official is Todd R Cockrell .
The authorized official title is Owner and has the following contact phone number (503) 241-1800.
The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/9/2013.