| Paventy & Brown Orthodontics Ii Llc | |
|
410 E Ellendale Ave Ste 2 Dallas OR 97338-3052 | |
| (971) 468-0220 | |
| (971) 468-0220 |
| Full Name | Paventy & Brown Orthodontics Ii Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 410 E Ellendale Ave Ste 2, Dallas, Oregon |
| Authorized Official Name and Position | Cassandra Wieth (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 6232678121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paventy & Brown Orthodontics Ii Llc 410 E Ellendale Ave Ste 2 Dallas OR 97338-3052 Ph: (971) 468-0220 | Paventy & Brown Orthodontics Ii Llc 410 E Ellendale Ave Ste 2 Dallas OR 97338-3052 Ph: (971) 468-0220 |
| NPI Number | 1609704345 |
|---|---|
| Provider Enumeration Date | 05/12/2026 |
| Last Update Date | 05/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609704345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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