ROGUE RIVER DENTURE SERVICE; NPI #1154873271

Contact Information

ROGUE RIVER DENTURE SERVICE

1850 WILLIAMS HWY
GRANTS PASS, OR 97527-5662

Phone: 541-476-0254
Fax: 541-955-7277
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for ROGUE RIVER DENTURE SERVICE

NPI Number 1154873271

LBN Legal business name ROGUE RIVER DENTURE SERVICE

Authorized official MITCHELL SHEELER - (DENTURIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2016

Last updated 10/25/2016 - About 10 years ago

Identifiers

License #

DT-DO-093102

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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ROGUE RIVER DENTURE SERVICE

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for ROGUE RIVER DENTURE SERVICE

Reviews for ROGUE RIVER DENTURE SERVICE