| Brookings Dental Group, Llc | |
|
565 5th St 2 Brookings OR 97415-9724 | |
| (541) 469-5371 | |
| Not Available |
| Full Name | Brookings Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 565 5th St, Brookings, Oregon |
| Authorized Official Name and Position | Timothy Ray Harbolt (MANAGING DENTIST) |
| Authorized Official Contact | 5414695371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookings Dental Group, Llc 565 5th St Suite #2 Brookings OR 97415-9724 Ph: (541) 469-5371 | Brookings Dental Group, Llc 565 5th St 2 Brookings OR 97415-9724 Ph: (541) 469-5371 |
| NPI Number | 1457884934 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457884934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6816 (Oregon) | Primary |
Brice Chang Dentist Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Pacific Ave, Brookings, OR 97415 Phone: 541-469-0192 | |
Gene Chickinell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 Pacific Avenue, Brookings, OR 97415 Phone: 541-469-4995 Fax: 541-469-4408 | |
Dane E. Smith Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 5th St, Brookings, OR 97415 Phone: 541-469-5373 Fax: 541-412-0177 |