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

COLUMBIA SQUARE DENTAL LLC

Active Organization

COLUMBIA SQUARE DENTAL LLC is a Dentist organization located in PORTLAND, Oregon. NPI 1962638205 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, OR

Registration Details

NPI Number
1962638205
Provider Type
Organization
NPI Issued
Jun 1, 2009 (17.179174028851 yrs)
Last Updated
Jun 1, 2009
Licenses
D9083 (OR)
D9163 (OR)
D8506 (OR)

Practice Information

Address
1320 SW 2ND AVE
PORTLAND, OR, 972015833
Browse OR providers · Browse ZIP 97201
Phone
5032240133
Fax
5032244750
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

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.