| Jeremy Ryan Vistica, DMD | |
|
12100 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 | |
| (503) 706-5944 | |
| Not Available |
| Full Name | Jeremy Ryan Vistica |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 12100 Monitor Mckee Rd Ne, Woodburn, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639368582 | NPI | - | NPPES |
| 500637605 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8993 (Oregon) | Secondary |
| 122300000X | Dentist | 0401417561 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Ryan Vistica, DMD 12100 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 Ph: (503) 706-5944 | Jeremy Ryan Vistica, DMD 12100 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 Ph: (503) 706-5944 |
Nicholas P Caba, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1018 N Boones Ferry Rd, Woodburn, OR 97071 Phone: 503-981-1841 Fax: 503-981-7334 | |
Dr. Soroush Tom Amini, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 | |
Dr. Kaveendra Thushara Ranasinghe, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 790 Lawson Ave, Woodburn, OR 97071 Phone: 503-982-1188 | |
Victor Tran, Dentist Medicare: Medicare Enrolled Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-9060 | |
Dr. Daniel Hoopes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 979 Young St Ste C, Woodburn, OR 97071 Phone: 503-981-4095 | |
Dr. Justin Todd Walter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1230 George St, Woodburn, OR 97071 Phone: 503-981-3603 Fax: 503-981-3604 | |
Teemu J. Scarborough, DDS. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1034 N Boones Ferry Rd, Woodburn, OR 97071 Phone: 503-982-9428 Fax: 503-982-5048 |