| Aumsville Family Dentistry Llc | |
|
180 Main St Aumsville OR 97325-9806 | |
| (503) 877-1594 | |
| (503) 448-2560 |
| Full Name | Aumsville Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 180 Main St, Aumsville, Oregon |
| Authorized Official Name and Position | Justin Alton Anderson (DENTIST/OWNER) |
| Authorized Official Contact | 5034375075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aumsville Family Dentistry Llc 1076 Ginger Ave Se Salem OR 97306-9806 Ph: (503) 437-5075 | Aumsville Family Dentistry Llc 180 Main St Aumsville OR 97325-9806 Ph: (503) 877-1594 |
| NPI Number | 1114665890 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114665890 | NPI | - | NPPES |
| 1649684382 | Other | OR | NPI |
| 1609485101 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hunsaker Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Main St, Aumsville, OR 97325 Phone: 503-448-2555 |