| Family Dentistry Of Gold Beach, Inc. | |
|
29814 Ellensburg Ave Gold Beach OR 97444-1600 | |
| (541) 247-8000 | |
| (541) 247-8888 |
| Full Name | Family Dentistry Of Gold Beach, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 29814 Ellensburg Ave, Gold Beach, Oregon |
| Authorized Official Name and Position | Herman Liem (CEO) |
| Authorized Official Contact | 5412478000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Gold Beach, Inc. Po Box 1600 29814 Ellensburg Gold Beach OR 97444-1600 Ph: (541) 247-8000 | Family Dentistry Of Gold Beach, Inc. 29814 Ellensburg Ave Gold Beach OR 97444-1600 Ph: (541) 247-8000 |
| NPI Number | 1649293036 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649293036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6942 (Oregon) | Primary |
Gold Beach Family Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 94223 4th St, Gold Beach, OR 97444 Phone: 541-247-7332 Fax: 541-247-9204 |