HIGH DESERT DENTAL NPI 1710194675

NPI Information

NPI: 1710194675
Provider Name: HIGH DESERT DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
271 SW 13TH ST
ONTARIO, OR
ZIP 97914
Phone: (541) 889-6614
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HIGH DESERT DENTAL is a dental clinic center in Ontario, OR. HIGH DESERT DENTAL NPI is 1710194675. The provider is registered as an organization entity type.

The provider's business location address is:

271 SW 13TH ST
ONTARIO, OR
ZIP 97914-530
Phone: (541) 889-6614
Fax: (541) 889-2164

The provider's authorized official is Rhett Tipton .
The authorized official title is Owner and has the following contact phone number (541) 889-6614.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

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
1	261QD0000X	Clinic/Center	Dental	D7106	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1720159080	OTHER		BEN PETERSON NPI NUMBER
2	075254	MEDICAID	OREGON
3	022803	MEDICAID	OREGON
4	231468	MEDICAID	OREGON
5	1578586194	OTHER		NPI NUMBER TIPTON

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: 4/28/2024

NPI Synchronization or Removal

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