| NW Dental | |
|
11808 Se Sunnyside Rd Clackamas OR 97015-9308 | |
| (503) 698-1112 | |
| (971) 224-5027 |
| Full Name | NW Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11808 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Benjamin Whitted (OWNER DENTIST) |
| Authorized Official Contact | 9903278090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| NW Dental 11808 Se Sunnyside Rd Clackamas OR 97015-9308 Ph: (503) 698-1112 | NW Dental 11808 Se Sunnyside Rd Clackamas OR 97015-9308 Ph: (503) 698-1112 |
| NPI Number | 1992475412 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992475412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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