| Calapooia Family Dental, Pc | |
|
1070 24th Ave Sw Albany OR 97321-7539 | |
| (503) 360-5921 | |
| Not Available |
| Full Name | Calapooia Family Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1070 24th Ave Sw, Albany, Oregon |
| Authorized Official Name and Position | Brian R Summers (PRESIDENT) |
| Authorized Official Contact | 5033605921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calapooia Family Dental, Pc 2514 Perfect Ln Sw Albany OR 97321-7585 Ph: (503) 360-5921 | Calapooia Family Dental, Pc 1070 24th Ave Sw Albany OR 97321-7539 Ph: (503) 360-5921 |
| NPI Number | 1548645930 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Medicare PECOS PAC ID | 0143511089 |
|---|---|
| Medicare Enrollment ID | O20160623000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548645930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Brian R Summers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992069298 PECOS PAC ID: 0648590877 Enrollment ID: I20150528002732 |
Elm Street Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Elm St Sw, Albany, OR 97321 Phone: 541-928-2993 Fax: 541-926-0339 | |
Honeymint Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Bain St Se, Albany, OR 97322 Phone: 541-990-0363 | |
Rosewood Periodontics & Dental Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Bain St Se Ste B, Albany, OR 97322 Phone: 541-990-0949 | |
Carson Kutsch Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 10th Ave Se, Albany, OR 97322 Phone: 541-926-1813 | |
Ross Mitchell Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 29th Ave Sw, Albany, OR 97321 Phone: 541-924-1190 Fax: 541-812-0332 | |
Albany Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 14th Ave Se, Albany, OR 97322 Phone: 541-791-8000 Fax: 541-928-6960 | |
Jeffrey Carl Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 19th Ave Se, Albany, OR 97322 Phone: 541-926-6089 Fax: 541-926-6196 |