| Dr. Jacob Atkinson Dmd Pc | |
|
130 Court St S Vale OR 97918-1326 | |
| (541) 473-9166 | |
| Not Available |
| Full Name | Dr. Jacob Atkinson Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 Court St S, Vale, Oregon |
| Authorized Official Name and Position | Jacob Atkinson (PRESIDENT) |
| Authorized Official Contact | 5414739166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jacob Atkinson Dmd Pc 130 Court St S Vale OR 97918-1326 Ph: (541) 473-9166 | Dr. Jacob Atkinson Dmd Pc 130 Court St S Vale OR 97918-1326 Ph: (541) 473-9166 |
| NPI Number | 1700039518 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700039518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9126 (Oregon) | Primary |