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Contact Information

WILLETTEDENTAL
4925 SW GRIFFITH DR
BEAVERTON, OR97005-2923
 Phone: 916-899-9665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for WILLETTEDENTAL

NPI # 1710317482
LBN Legal business name WILLETTEDENTAL
Authorized official PEGGY CLIFTON - (DENTAL HYGIENIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2013
Last updated 11/17/2013 - About 13 years ago
Identifiers
OR License # H5544
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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