| Hester Mainstay | |
|
21 Cascade Dr Lebanon OR 97355-3765 | |
| (541) 451-1991 | |
| Not Available |
| Full Name | Hester Mainstay |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Cascade Dr, Lebanon, Oregon |
| Authorized Official Name and Position | Bradley Wayne Hester (OWNER/CHIEF DENTAL OFFICER) |
| Authorized Official Contact | 5414101052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hester Mainstay 20101 Winston Loop Bend OR 97703-8990 Ph: (541) 410-1052 | Hester Mainstay 21 Cascade Dr Lebanon OR 97355-3765 Ph: (541) 451-1991 |
| NPI Number | 1881452878 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881452878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Osborne Dentistry Registry #1356504-97 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Market St, Lebanon, OR 97355 Phone: 541-451-4300 Fax: 541-451-4799 | |
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