| Beaverton Dental Center Llc | |
|
11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 | |
| (503) 641-4328 | |
| (503) 644-8454 |
| Full Name | Beaverton Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11673 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
| Authorized Official Name and Position | John Williams (OWNER) |
| Authorized Official Contact | 5036414328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Dental Center Llc 11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 Ph: (503) 641-4328 | Beaverton Dental Center Llc 11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 Ph: (503) 641-4328 |
| NPI Number | 1023367513 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023367513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2004 (Oregon) | Primary |
| 122400000X | Denturist | 27130 (Oregon) | Secondary |
Beaverton Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10950 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 503-641-1100 | |
Jade Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12450 Sw Pioneer Ln, Beaverton, OR 97008 Phone: 510-501-4317 | |
5 Star Smiles Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16755 Sw Baseline Rd Ste 106, Beaverton, OR 97006 Phone: 203-645-4016 | |
Cedar Hills Modern Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 Sw Cedar Hills Blvd Ste 120, Beaverton, OR 97005 Phone: 503-396-4071 Fax: 503-396-4071 | |
Kaiser Foundation Health Plan Of The Northwest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 800-813-2000 Fax: 503-286-6879 | |
Cedar Hills Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12745 Sw Walker Rd, Suite #400, Beaverton, OR 97005 Phone: 503-469-8404 Fax: 503-469-9305 |