| Oregon Pediatric Dentistry | |
|
3140 Dustin Rd Oregon OH 43616-4341 | |
| (419) 698-4339 | |
| (419) 698-3484 |
| Full Name | Oregon Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3140 Dustin Rd, Oregon, Ohio |
| Authorized Official Name and Position | Stephen R Branam (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4196984339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Pediatric Dentistry 3140 Dustin Rd Oregon OH 43616-4341 Ph: (419) 698-4339 | Oregon Pediatric Dentistry 3140 Dustin Rd Oregon OH 43616-4341 Ph: (419) 698-4339 |
| NPI Number | 1497196232 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497196232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14897 (Ohio) | Primary |
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