| Sublimity Dental | |
|
231 Nw Starr St Sublimity OR 97385-9827 | |
| (503) 769-5611 | |
| Not Available |
| Full Name | Sublimity Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 231 Nw Starr St, Sublimity, Oregon |
| Authorized Official Name and Position | Jeffrey J Gries (DENTIST/OWNER) |
| Authorized Official Contact | 5037695611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublimity Dental 231 Nw Starr St Sublimity OR 97385-9827 Ph: (503) 769-5611 | Sublimity Dental 231 Nw Starr St Sublimity OR 97385-9827 Ph: (503) 769-5611 |
| NPI Number | 1538434022 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538434022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6698 (Oregon) | Primary |