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Contact Information

ADVANTAGE DENTAL GROUP, PC
63140 BRITTA ST STE D104
BEND, OR97703-5738
 Phone: 888-468-0022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL GROUP, PC

NPI Number 1972970671
LBN Legal business name ADVANTAGE DENTAL GROUP, PC
Authorized official SHARON EDMONDSON - (MANAGER, LICENSING & CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2015
Last updated 01/03/2023 - About 3 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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