| Foothill Endodontics LLC | |
|
3534 Lone Pine Rd Medford OR 97504-5637 | |
| (541) 200-0321 | |
| Not Available |
| Full Name | Foothill Endodontics LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3534 Lone Pine Rd, Medford, Oregon |
| Authorized Official Name and Position | Bryce Taylor (OWNER) |
| Authorized Official Contact | 3129259311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Endodontics LLC 3534 Lone Pine Rd Medford OR 97504-5637 Ph: (541) 200-0321 | Foothill Endodontics LLC 3534 Lone Pine Rd Medford OR 97504-5637 Ph: (541) 200-0321 |
| NPI Number | 1255136222 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255136222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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