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Contact Information

ICP TELEDENTISTRY
3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR97214-5048
 Phone: 425-494-0883
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for ICP TELEDENTISTRY

NPI Number 1225771108
LBN Legal business name ICP TELEDENTISTRY
Authorized official CHANDAN SHARMA - (HOD)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2022
Last updated 04/18/2022 - About 4 years ago
Identifiers
LA Other 006880293 DL
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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