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:
Authorized official contact:
Name: Dahle, Eric N Doctor of Dental Medicine (DMD)
Phone: (541) 881-1794
Health care specialties
Specialty | Code | License # | 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 17 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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