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Contact Information

OR SPECIALTY DENTAL SERVICES LLC
250 CHURCH ST SE STE 102
SALEM, OR97301-3758
 Phone: 503-581-1999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for OR SPECIALTY DENTAL SERVICES LLC

NPI # 1053066894
LBN Legal business name OR SPECIALTY DENTAL SERVICES LLC
Authorized official JAMES EYRE - (OWNER OF ENTITY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2022
Last updated 02/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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