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Contact Information

ADVANTAGE DENTAL ASSOCIATES OF CROOK COUNTY, LLC
257 NE 2ND ST
PRINEVILLE, OR97754-1910
 Phone: 541-447-5838
 Fax: 541-447-5883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL ASSOCIATES OF CROOK COUNTY, LLC

NPI # 1649573585
LBN Legal business name ADVANTAGE DENTAL ASSOCIATES OF CROOK COUNTY, LLC
Authorized official R. MIKE SHIRTCLIFF - (AUTHORIZED REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2010
Last updated 12/15/2010 - About 15 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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