Angellift Dental Center
LBN: Hales Dental Practice, Pc
Angellift Dental Center is an health care organization with primary practice located at 781 Ne 7Th St B, Grants Pass OR 97526-1654. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Hales Dental Practice, Pc can be contacted via phone (541) 474-1100, or through Hales, Jim B via phone (541) 474-1100.
Contact Information
Primary practice address
781 Ne 7Th St B
Grants Pass OR 97526-1654
Phone: (541) 474-1100
Fax: (541) 474-1103
Website:
Authorized official contact:
Name: Hales, Jim B Doctor of Dental Surgery (DDS)
Phone: (541) 474-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | D6777 | Oregon |
| Managed Care Organizations / Point of Service | 305S00000X | D6777 | Oregon |
Profile Details
| NPI number | 1790229383 |
|---|---|
| LBN Legal business name | Hales Dental Practice, Pc |
| DBA Doing business as | Angellift Dental Center |
| Authorized official | Hales, Jim B Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2016 |
| Last updated | Dec 15th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790229383 | NPPES |
| Oregon | Other | 6080140001 | MEDICARE DME PTAN |
| Oregon | MEDICAID | 040241 | MEDICARE DME PTAN |
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