Icp Teledentistry

LBN: Icp Teledentistry
Icp Teledentistry is an health care organization with primary practice located at 3439 Se Hawthorne Blvd # 906 , Portland OR 97214-5048. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist, Dental Providers / Dental Assistant, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Dental Public Health is the primary health care specialty. Icp Teledentistry can be contacted via phone (425) 494-0883, or through Sharma, Chandan via phone (425) 494-0883.

Contact Information

Primary practice address
3439 Se Hawthorne Blvd # 906 Portland OR 97214-5048
Phone: (425) 494-0883
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sharma, Chandan
Phone: (425) 494-0883

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Therapist 125J00000X
Dental Providers / Dental Assistant 126800000X
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1225771108
LBN Legal business name Icp Teledentistry
DBA Doing business as
Authorized official Sharma, Chandan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2022
Last updated Apr 18th, 2022 - about 3 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 1225771108 NPPES
Louisiana Other 006880293 DL

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