| Advanced Dental Concepts | |
|
7107 Ne Vancouver Mall Dr Ste. #d Vancouver WA 98661-8178 | |
| (360) 892-6555 | |
| (360) 892-4170 |
| Full Name | Advanced Dental Concepts |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7107 Ne Vancouver Mall Dr, Vancouver, Washington |
| Authorized Official Name and Position | Jack Denzil Jorgensen (PRESIDENT) |
| Authorized Official Contact | 3608926555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Concepts 7107 Ne Vancouver Mall Dr Ste. #d Vancouver WA 98661-8178 Ph: (360) 892-6555 | Advanced Dental Concepts 7107 Ne Vancouver Mall Dr Ste. #d Vancouver WA 98661-8178 Ph: (360) 892-6555 |
| NPI Number | 1053413591 |
|---|---|
| Provider Enumeration Date | 09/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053413591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00009473 (Washington) | Primary |
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