Provider Type Icon

SOUTHERN OREGON ENDODONTICS PC NPI 1922160589


NPI Information

NPI: 1922160589
Provider Name: SOUTHERN OREGON ENDODONTICS, PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2924 SISKIYOU BLVD
SUITE 204
MEDFORD, OR
ZIP 97504
Phone: (541) 779-3324
Get Directions

SOUTHERN OREGON ENDODONTICS, PC is an endodontics dentist in Medford, OR. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOUTHERN OREGON ENDODONTICS, PC NPI is 1922160589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2924 SISKIYOU BLVD
SUITE 204
MEDFORD, OR
ZIP 97504-194
Phone: (541) 779-3324
Fax: (541) 779-3557

The provider's authorized official is Michael Curtis Hall .
The authorized official title is Owner and has the following contact phone number (541) 779-3324.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 3/4/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsD7486OREGONYes

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

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.