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

ICP TELEDENTISTRY

Active Organization

Dental Public Health · PORTLAND, OR

Registration Details

NPI Number
1225771108
Provider Type
Organization
NPI Issued
Apr 18, 2022 (4.0101218585093 yrs)
Last Updated
Apr 18, 2022

Practice Information

Address
3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR, 972145048
Browse OR providers · Browse ZIP 97214
Phone
4254940883
Primary Specialty
Dental Public Health
1223D0001X
Additional Specialty
125J00000X
Additional Specialty
Dental Assistant
Additional Specialty
Dental Clinic

Other Dental Public Health Organizations in PORTLAND, OR

Name NPI
DENTAL OUTREACH OREGON 1841441904
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.