| Pnw Dental LLC | |
|
1814 Coburg Rd Ste 2 Eugene OR 97401-4986 | |
| (541) 342-3398 | |
| Not Available |
| Full Name | Pnw Dental LLC |
|---|---|
| Speciality | Dentist |
| Location | 1814 Coburg Rd Ste 2, Eugene, Oregon |
| Authorized Official Name and Position | Susan N Watkins (OWNER/DENTIST) |
| Authorized Official Contact | 5416036696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw Dental LLC 1814 Coburg Rd Ste 2 Eugene OR 97401-4986 Ph: (541) 342-3398 | Pnw Dental LLC 1814 Coburg Rd Ste 2 Eugene OR 97401-4986 Ph: (541) 342-3398 |
| NPI Number | 1265907364 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265907364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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