| Medical Center Dental, Llc | |
|
1100 Southgate Suite 17 Pendleton OR 97801-3974 | |
| (541) 276-1561 | |
| (541) 276-5743 |
| Full Name | Medical Center Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Southgate, Pendleton, Oregon |
| Authorized Official Name and Position | Jason Lamar Walker (OWNER) |
| Authorized Official Contact | 5412761561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Dental, Llc 1100 Southgate Suite 17 Pendleton OR 97801-3974 Ph: (541) 276-1561 | Medical Center Dental, Llc 1100 Southgate Suite 17 Pendleton OR 97801-3974 Ph: (541) 276-1561 |
| NPI Number | 1285903047 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 12/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285903047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9425 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | D9454 (Oregon) | Primary |
Durk V Irwin Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Sw Dorion Ave, Pendleton, OR 97801 Phone: 541-276-7819 Fax: 541-278-2563 | |
Three Rivers Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate, Suite 11, Pendleton, OR 97801 Phone: 541-276-1061 Fax: 541-276-0674 | |
Ritchie L Hibbert, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate, Suite 3, Pendleton, OR 97801 Phone: 541-276-5272 Fax: 541-276-7212 | |
Pendleton Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Sw Nye Ave, Pendleton, OR 97801 Phone: 541-276-7051 Fax: 541-276-1020 | |
Medical Center Dental Office, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 17, Pendleton, OR 97801 Phone: 541-276-1561 Fax: 541-276-5743 |