Icp Teledentistry is a Oral and Maxillofacial Surgery Clinic/Center based in Portland, OR and is specialized in Oral and Maxillofacial Surgery. Icp Teledentistry practices in Portland, OR. The NPI Number for Icp Teledentistry is 1225771108 and holds a License No. (Oregon).
The current practice location address for Icp Teledentistry is 3439 Se Hawthorne Blvd # 906, Portland, OR and can be reached out via phone at 425-494-0883.
Location: 3439 Se Hawthorne Blvd # 906, Portland, OR, 97214-5048
Provider Profile Details
NPI Number
1225771108
Provider Name
Icp Teledentistry
Credential
Provider Entity Type
Organization
Address
3439 Se Hawthorne Blvd # 906, Portland, OR, 97214-5048
Phone Number
425-494-0883
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006880293 | 01 | LA | DL |
Provider Business Practice Location Address Details
Address
3439 Se Hawthorne Blvd # 906
City
State
Zip
97214-5048
Phone Number
425-494-0883
Fax Number
Provider Business Mailing Address Details
Address
3439 Se Hawthorne Blvd # 906
City
State
Zip
97214-5048
Phone Number
425-494-0883
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dental Public Health
Taxonomy
License No.
()
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
License No.
()
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
License No.
()
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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