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

SOUTHEAST DENTAL PC

Active Organization

SOUTHEAST DENTAL PC is a Dentist organization located in PORTLAND, Oregon. NPI 1700982451 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, OR

Registration Details

NPI Number
1700982451
Provider Type
Organization
NPI Issued
Sep 16, 2006 (19.886299901549 yrs)
Last Updated
Aug 22, 2020
License
D6838 (OR)

Practice Information

Address
12661 SE POWELL
D
PORTLAND, OR, 972363900
Browse OR providers · Browse ZIP 97236
Phone
5037607983
Fax
5037622379
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in PORTLAND, OR

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.