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Contact Information

2ND & MADISON DENTAL
100 SW MAIN ST
SUITE 165
PORTLAND, OR97204-3218
 Phone: 949-498-5761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for 2ND & MADISON DENTAL

NPI Number 1497197230
LBN Legal business name 2ND & MADISON DENTAL
Authorized official CINDY O'LOUGHLIN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2013
Last updated 07/22/2013 - About 13 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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