EASTERN OREGON DENTAL CLINIC LLC

General Practice Dentistry · ONTARIO, OR

Organization Active NPI 1609043157

Taxonomy & licensure

Specialty	Code	Primary	License	State
General Practice Dentistry	1223G0001X	✓	D6574	OR
Dentist	122300000X		D9048	OR
Dentist	122300000X		D6574	OR
Dentist	122300000X		D7219	OR
Endodontics	1223E0200X		D9048	OR
Endodontics	1223E0200X		D6574	OR
Endodontics	1223E0200X		D7219	OR
General Practice Dentistry	1223G0001X		D9048	OR
General Practice Dentistry	1223G0001X		D7219	OR
Periodontics	1223P0300X		D6574	OR
Periodontics	1223P0300X		D9048	OR
Periodontics	1223P0300X		D7219	OR
Oral and Maxillofacial Surgery (Dentist)	1223S0112X		D9048	OR
Oral and Maxillofacial Surgery (Dentist)	1223S0112X		D6574	OR
Oral and Maxillofacial Surgery (Dentist)	1223S0112X		D7219	OR

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.