institution
Mosaic Medical Dental
Federally Qualified Health Center (FQHC) in Prineville, Oregon
NPI 1174066963

Mosaic Medical Dental is a Federally Qualified Health Center (FQHC) based in Bend, OR and is specialized in Federally Qualified Health Center (FQHC). Mosaic Medical Dental practices in Prineville, OR. The NPI Number for Mosaic Medical Dental is 1174066963 and holds a License No. (Oregon).

The current practice location address for Mosaic Medical Dental is 375 Nw Beaver St, Prineville, OR and can be reached out via phone at 541-447-0707 and via fax at 541-383-1883.

Location: 375 Nw Beaver St, Prineville, OR, 97702-1099
institution
Provider Profile Details
NPI Number
1174066963
Provider Name
Mosaic Medical Dental
Credential
Provider Entity Type
Organization
Address
375 Nw Beaver St, Prineville, OR, 97702-1099
Phone Number
541-447-0707
Fax Number
541-383-1883
Provider Enumeration Date
11/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182960 05 OR
institution
Provider Business Practice Location Address Details
Address
375 Nw Beaver St
City
State
Zip
97754-1802
Phone Number
541-447-0707
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
375 Nw Beaver St
City
State
Zip
97754-1802
Phone Number
541-447-0707
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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