| Jeremiah Shakespear Dds Pc | |
|
1775 Exchange St Astoria OR 97103-3508 | |
| (503) 325-3533 | |
| Not Available |
| Full Name | Jeremiah Shakespear Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1775 Exchange St, Astoria, Oregon |
| Authorized Official Name and Position | Jeremiah D Shakespear (PRESIDENT) |
| Authorized Official Contact | 5033253533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Shakespear Dds Pc 1775 Exchange St Astoria OR 97103-3508 Ph: (503) 325-3533 | Jeremiah Shakespear Dds Pc 1775 Exchange St Astoria OR 97103-3508 Ph: (503) 325-3533 |
| NPI Number | 1154763183 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154763183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9903 (Oregon) | Primary |
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