Endodontic Specialty Group, P.C.

LBN: Endodontic Specialty Group, P.C.
Endodontic Specialty Group, P.C. is an health care organization with primary practice located at 1550 Nw Eastman Pkwy Suite 265, Gresham OR 97030-3858. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Endodontic Specialty Group, P.C. can be contacted via phone (503) 665-0495, or through Barker, Dale via phone (503) 665-0495.

Contact Information

Primary practice address
1550 Nw Eastman Pkwy Suite 265 Gresham OR 97030-3858
Phone: (503) 665-0495
Fax: (503) 674-9196
Website:
Map and Directions
Authorized official contact:
Name: Barker, Dale Doctor of Dental Surgery (DDS)
Phone: (503) 665-0495

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1902022783
LBN Legal business name Endodontic Specialty Group, P.C.
DBA Doing business as
Authorized official Barker, Dale Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902022783 NPPES
Oregon Other 1861561508 DALE R. BARKER DDS
Oregon Other 1265505408 DALE R. BARKER DDS
Oregon Other 1932296761 DALE R. BARKER DDS

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