| Revolution Dental Implant Center | |
|
19017 Beavercreek Rd Oregon City OR 97045-9537 | |
| (503) 777-3333 | |
| Not Available |
| Full Name | Revolution Dental Implant Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19017 Beavercreek Rd, Oregon City, Oregon |
| Authorized Official Name and Position | Bradley Houtman (OPERATIONS MANAGER) |
| Authorized Official Contact | 5037773333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Dental Implant Center 19017 Beavercreek Rd Oregon City OR 97045-9537 Ph: () - | Revolution Dental Implant Center 19017 Beavercreek Rd Oregon City OR 97045-9537 Ph: (503) 777-3333 |
| NPI Number | 1194423988 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194423988 | NPI | - | NPPES |
| D9000 | Other | OR | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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