Eastern Oregon Dental Clinic Llc

LBN: Eastern Oregon Dental Clinic Llc
Eastern Oregon Dental Clinic Llc is an health care organization with primary practice located at 475 Sw 12Th St , Ontario OR 97914-3201. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Eastern Oregon Dental Clinic Llc can be contacted via phone (541) 881-1794, or through Dahle, Eric N via phone (541) 881-1794.

Contact Information

Primary practice address
475 Sw 12Th St Ontario OR 97914-3201
Phone: (541) 881-1794
Fax: (541) 889-2904
Website:
Map and Directions
Authorized official contact:
Name: Dahle, Eric N Doctor of Dental Medicine (DMD)
Phone: (541) 881-1794

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9048 Oregon
Dental Providers / Dentist 122300000X D6574 Oregon
Dental Providers / Dentist 122300000X D7219 Oregon
Dental Providers / Endodontics 1223E0200X D9048 Oregon
Dental Providers / Endodontics 1223E0200X D6574 Oregon
Dental Providers / Endodontics 1223E0200X D7219 Oregon
Dental Providers / General Practice 1223G0001X D9048 Oregon
Dental Providers / General Practice 1223G0001X D6574 Oregon
Dental Providers / General Practice 1223G0001X D7219 Oregon
Dental Providers / Periodontics 1223P0300X D6574 Oregon
Dental Providers / Periodontics 1223P0300X D9048 Oregon
Dental Providers / Periodontics 1223P0300X D7219 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9048 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D6574 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D7219 Oregon

Profile Details

NPI number 1609043157
LBN Legal business name Eastern Oregon Dental Clinic Llc
DBA Doing business as
Authorized official Dahle, Eric N Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 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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