Southeast Dental Pc

LBN: Southeast Dental Pc
Southeast Dental Pc is an health care organization with primary practice located at 12661 Se Powell D, Portland OR 97236-3900. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Southeast Dental Pc can be contacted via phone (503) 760-7983, or through Betrous, Osama S via phone (503) 760-7983.

Contact Information

Primary practice address
12661 Se Powell D Portland OR 97236-3900
Phone: (503) 760-7983
Fax: (503) 762-2379
Website:
Map and Directions
Authorized official contact:
Name: Betrous, Osama S Doctor of Dental Medicine (DMD)
Phone: (503) 760-7983

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6838 Oregon

Profile Details

NPI number 1700982451
LBN Legal business name Southeast Dental Pc
DBA Doing business as
Authorized official Betrous, Osama S Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
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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