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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DECA DENTISTRY

Active Organization

DECA DENTISTRY is a General Dentistry organization located in GRESHAM, Oregon. NPI 1124548235 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GRESHAM, OR

Registration Details

NPI Number
1124548235
Provider Type
Organization
NPI Issued
Jun 21, 2017 (9.1447258201319 yrs)
Last Updated
Mar 17, 2018
Licenses
D10376 (OR)
D10377 (OR)

Practice Information

Address
501 NE HOOD AVE STE 235
GRESHAM, OR, 970307346
Browse OR providers · Browse ZIP 97030
Phone
5036614900
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Pediatric Dentistry
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.