| Shoreview Dental | |
|
5885 Shoreview Ln N. Keizer OR 97303 | |
| (503) 393-5133 | |
| (503) 400-4236 |
| Full Name | Shoreview Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5885 Shoreview Ln N., Keizer, Oregon |
| Authorized Official Name and Position | Marie Baumgartner (DENTIST /PRACTICE OWNER) |
| Authorized Official Contact | 5033935133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreview Dental 5885 Shoreview Ln N. Keizer OR 97303 Ph: (503) 393-5133 | Shoreview Dental 5885 Shoreview Ln N. Keizer OR 97303 Ph: (503) 393-5133 |
| NPI Number | 1598615932 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 02/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598615932 | NPI | - | NPPES |
| 68114 | Medicaid | OR | |
| 500607846 | Other | OR | DMAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
Shoreview Dental, Lls Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5885 Shoreview Ln N, Keizer, OR 97303 Phone: 503-393-5133 Fax: 503-393-2439 |
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