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Contact Information

ADVANTAGE DENTAL SPECIALISTS, LLC
442 SW UMATILLA AVE
SUITE 200
REDMOND, OR97756-7039
 Phone: 541-504-3900
 Fax: 541-504-3907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL SPECIALISTS, LLC

NPI Number 1467812065
LBN Legal business name ADVANTAGE DENTAL SPECIALISTS, LLC
Authorized official RALPH SHIRTCLIFF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2016
Last updated 02/25/2016 - About 10 years ago
Identifiers
OR License # D4459
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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