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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1225771108 | NPPES |
Louisiana | Other | 006880293 | DL |
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