| Oregon Smile Care Center | |
|
2045 Madrona Ave Se Suite #150 Salem OR 97302-1149 | |
| (503) 391-2848 | |
| (503) 391-0402 |
| Full Name | Oregon Smile Care Center |
|---|---|
| Speciality | Dentist |
| Location | 2045 Madrona Ave Se, Salem, Oregon |
| Authorized Official Name and Position | Sean Hanson (OWNER) |
| Authorized Official Contact | 5033912848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Smile Care Center 2045 Madrona Ave Se Suite #150 Salem OR 97302-1149 Ph: (503) 391-2848 | Oregon Smile Care Center 2045 Madrona Ave Se Suite #150 Salem OR 97302-1149 Ph: (503) 391-2848 |
| NPI Number | 1003880519 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003880519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8850 (Oregon) | Primary |
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