| Hickory St Llc | |
|
637 Hickory St Nw Ste 110 Albany OR 97321-1761 | |
| (541) 406-3500 | |
| Not Available |
| Full Name | Hickory St Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 637 Hickory St Nw Ste 110, Albany, Oregon |
| Authorized Official Name and Position | Amanpreet Flynn (OWNER) |
| Authorized Official Contact | 5414063500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory St Llc 637 Hickory St Nw Ste 110 Albany OR 97321-1761 Ph: (541) 406-3500 | Hickory St Llc 637 Hickory St Nw Ste 110 Albany OR 97321-1761 Ph: (541) 406-3500 |
| NPI Number | 1245860345 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245860345 | NPI | - | NPPES |
| 82673551 | Medicaid | CO | |
| 1861621641 | Medicaid | NE | |
| 130509300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Elm Street Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Elm St Sw, Albany, OR 97321 Phone: 541-928-2993 Fax: 541-926-0339 | |
Honeymint Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Bain St Se, Albany, OR 97322 Phone: 541-990-0363 | |
Rosewood Periodontics & Dental Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Bain St Se Ste B, Albany, OR 97322 Phone: 541-990-0949 | |
Carson Kutsch Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 10th Ave Se, Albany, OR 97322 Phone: 541-926-1813 | |
Ross Mitchell Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 29th Ave Sw, Albany, OR 97321 Phone: 541-924-1190 Fax: 541-812-0332 | |
Albany Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 14th Ave Se, Albany, OR 97322 Phone: 541-791-8000 Fax: 541-928-6960 | |
Jeffrey Carl Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 19th Ave Se, Albany, OR 97322 Phone: 541-926-6089 Fax: 541-926-6196 |