| Healthy Smiles Family Dental Llc | |
|
4392 Liberty Rd S Salem OR 97302-6171 | |
| (503) 315-2500 | |
| (503) 339-1981 |
| Full Name | Healthy Smiles Family Dental Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4392 Liberty Rd S, Salem, Oregon |
| Authorized Official Name and Position | Na Xu (DDS) |
| Authorized Official Contact | 5033152500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Family Dental Llc 4392 Liberty Rd S Salem OR 97302-6171 Ph: (503) 315-2500 | Healthy Smiles Family Dental Llc 4392 Liberty Rd S Salem OR 97302-6171 Ph: (503) 315-2500 |
| NPI Number | 1720338668 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3274982434 |
|---|---|
| Medicare Enrollment ID | O20231213001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720338668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8941 (Oregon) | Primary |
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