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Contact Information

ADVANTAGE DENTAL GROUP, PC
300 TATONE
BOARDMAN, OR97818
 Phone: 541-945-4008
 Fax: 541-516-4041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL GROUP PC · (Female)

NPI # 1831741958
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2019
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 500768152
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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