| NPI | 1740369818 |
|---|---|
| Other Name | OHSU FACULTY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MEGAN A SAGE Director PT Sppt Srvs Operations 503-494-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223X2210X Dentist, Orofacial Pain | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-03-21 |