Lake Grove Dental

LBN: Gordon L. Wiltshire, Jr., Dmd, Pc
Lake Grove Dental is an health care organization with primary practice located at 16455 Boones Ferry Rd Ste A , Lake Oswego OR 97035-4367. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gordon L. Wiltshire, Jr., Dmd, Pc can be contacted via phone (503) 636-3641, or through Maurer, Catherine Gw via phone (503) 636-3641.

Contact Information

Primary practice address
16455 Boones Ferry Rd Ste A Lake Oswego OR 97035-4367
Phone: (503) 636-3641
Fax: (503) 636-8159
Website:
Map and Directions
Authorized official contact:
Name: Maurer, Catherine Gw
Phone: (503) 636-3641

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3288 Oregon

Profile Details

NPI number 1528235314
LBN Legal business name Gordon L. Wiltshire, Jr., Dmd, Pc
DBA Doing business as Lake Grove Dental
Authorized official Maurer, Catherine Gw
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 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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