| Acorn Dentistry For Kids - West Salem, Llc | |
|
1049 Edgewater St Nw Salem OR 97304-4046 | |
| (503) 874-4560 | |
| (503) 874-4562 |
| Full Name | Acorn Dentistry For Kids - West Salem, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1049 Edgewater St Nw, Salem, Oregon |
| Authorized Official Name and Position | Timothy Richardson (OWNER) |
| Authorized Official Contact | 5038744560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn Dentistry For Kids - West Salem, Llc 204 N 1st St Ste E Silverton OR 97381-1635 Ph: (503) 874-4560 | Acorn Dentistry For Kids - West Salem, Llc 1049 Edgewater St Nw Salem OR 97304-4046 Ph: (503) 874-4560 |
| NPI Number | 1043869191 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043869191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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