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Contact Information

SANDY DENTAL PDX
7836 NE SANDY BLVD
PORTLAND, OR97213
 Phone: 503-288-3107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SANDY DENTAL PDX

NPI # 1053886580
LBN Legal business name SANDY DENTAL PDX
Authorized official PHONG BUI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2018
Last updated 10/11/2018 - About 8 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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