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Grants Pass Prosthodontics, Pc
Prosthodontist in Grants Pass, Oregon
NPI 1184749657

Grants Pass Prosthodontics, Pc is a Prosthodontist based in Grants Pass, OR and is specialized in Prosthodontics. Grants Pass Prosthodontics, Pc practices in Grants Pass, OR. The NPI Number for Grants Pass Prosthodontics, Pc is 1184749657 and holds a License No. D6932 (Oregon).

The current practice location address for Grants Pass Prosthodontics, Pc is 570 Ne E St, Grants Pass, OR and can be reached out via phone at 541-476-2166 and via fax at 541-476-2152.

Location: 570 Ne E St, Grants Pass, OR, 97526-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184749657
Provider Name
Grants Pass Prosthodontics, Pc
Credential
Provider Entity Type
Organization
Address
570 Ne E St, Grants Pass, OR, 97526-2326
Phone Number
541-476-2166
Fax Number
541-476-2152
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118677-93 01 OR CORPORATION NUMBER
institution
Provider Business Practice Location Address Details
Address
570 Ne E St
City
Grants Pass
State
Oregon
Zip
97526-2326
Phone Number
541-476-2166
Fax Number
541-476-2152
person
Provider Business Mailing Address Details
Address
570 Ne E St
City
Grants Pass
State
Oregon
Zip
97526-2326
Phone Number
541-476-2166
Fax Number
541-476-2152
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
D6932 (Oregon)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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Prosthodontist
570 Ne E St,
GRANTS PASS, OR
97526-2326
541-476-2166
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