Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOLLY SLACK, DDS
Active Sole ProprietorDR. MOLLY SLACK, DDS is a Dentist healthcare provider located in LEBANON, Oregon. NPI 1053323618 is currently active in the NPPES registry. Verify at CMS.
Dentist · LEBANON, OR
Registration Details
- NPI Number
- 1053323618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2006 (19.831066980006 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D7600 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 W OAK STLEBANON, OR, 973551254Browse OR providers · Browse ZIP 97355
- Phone
- 5412587884
- Fax
- 5412587834
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LEBANON, OR
| Name | Credential | NPI |
|---|---|---|
| DR. NATHAN ALLEN TOLMAN | D.M.D. | 1851542518 |
| GEOFFREY W BLATTER | DMD | 1326470386 |
| DREW GARRETT HUBBARD | DMD | 1982126876 |
| MIKAYLA CHRISTINE AYALA | DMD | 1306493259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.