| Shady Cove Family Dentistry | |
|
21300 Hwy 62 Shady Cove OR 97539-9717 | |
| (541) 878-2115 | |
| Not Available |
| Full Name | Shady Cove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21300 Hwy 62, Shady Cove, Oregon |
| Authorized Official Name and Position | Luke B Murphy (OWNER) |
| Authorized Official Contact | 5418782115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Cove Family Dentistry Po Box 1150 21300 Highway 62 Shady Cove OR 97539-1150 Ph: (541) 878-2115 | Shady Cove Family Dentistry 21300 Hwy 62 Shady Cove OR 97539-9717 Ph: (541) 878-2115 |
| NPI Number | 1376819656 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376819656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10-00527.0 (Oregon) | Primary |