| Appletree Dentistry | |
|
16035 Sw Pacific Hwy Tigard OR 97224-3438 | |
| (503) 620-2185 | |
| (503) 670-4863 |
| Full Name | Appletree Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 16035 Sw Pacific Hwy, Tigard, Oregon |
| Authorized Official Name and Position | Scott Thomas Simpson (PRESIDENT) |
| Authorized Official Contact | 5036202185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appletree Dentistry 16035 Sw Pacific Hwy Tigard OR 97224-3438 Ph: (503) 620-2185 | Appletree Dentistry 16035 Sw Pacific Hwy Tigard OR 97224-3438 Ph: (503) 620-2185 |
| NPI Number | 1265942650 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Medicare PECOS PAC ID | 9638591787 |
|---|---|
| Medicare Enrollment ID | O20200619000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265942650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Scott T Simpson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396766036 PECOS PAC ID: 1254635311 Enrollment ID: I20200619000398 |
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