Beaverton Dental Group Pc

LBN: Beaverton Dental Group Pc
Beaverton Dental Group Pc is an health care organization with primary practice located at 12755 Sw 2Nd St , Beaverton OR 97005-2767. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Beaverton Dental Group Pc can be contacted via phone (503) 644-1126, or through Lee, John J via phone (503) 644-1126.

Contact Information

Primary practice address
12755 Sw 2Nd St Beaverton OR 97005-2767
Phone: (503) 644-1126
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, John J Doctor of Dental Surgery (DDS)
Phone: (503) 644-1126

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7463 Oregon

Profile Details

NPI number 1093110975
LBN Legal business name Beaverton Dental Group Pc
DBA Doing business as
Authorized official Lee, John J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2014
Last updated Nov 4th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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