| Broadway Family Dental Care Llc | |
|
508 E Broadway Milton Freewater OR 97862 | |
| (541) 938-3363 | |
| (541) 938-3912 |
| Full Name | Broadway Family Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 508 E Broadway, Milton Freewater, Oregon |
| Authorized Official Name and Position | Norman Dean Saager (DENTIST) |
| Authorized Official Contact | 5419383363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Family Dental Care Llc 508 E Broadway Milton Freewater OR 97862 Ph: (541) 938-3363 | Broadway Family Dental Care Llc 508 E Broadway Milton Freewater OR 97862 Ph: (541) 938-3363 |
| NPI Number | 1215001052 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215001052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8170 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | D4973 (Oregon) | Primary |
Wheeler Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Sw 8th Ave, Milton Freewater, OR 97862 Phone: 541-938-7752 Fax: 541-938-3093 |