| Sutherlin Dental | |
|
115 N State St Sutherlin OR 97479-9807 | |
| (541) 459-4612 | |
| (541) 459-4911 |
| Full Name | Sutherlin Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 N State St, Sutherlin, Oregon |
| Authorized Official Name and Position | Monte' Erell Montgomery (PRESIDENT) |
| Authorized Official Contact | 5414594612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutherlin Dental Po Box 719 Sutherlin OR 97479-0719 Ph: (541) 459-4612 | Sutherlin Dental 115 N State St Sutherlin OR 97479-9807 Ph: (541) 459-4612 |
| NPI Number | 1043456403 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6919 (Oregon) | Primary |
Murphy & Murphy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Central Ave, Sutherlin, OR 97479 Phone: 541-459-1358 Fax: 541-459-1358 | |
James J. Hein Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 N. Umpqua St., Sutherlin, OR 97479 Phone: 541-459-2882 Fax: 541-459-6361 |