Active NPIOrganization

All City Denture Clinic PC

Dental Laboratory in Portland, Oregon

NPI Number1366755613
Practice location
12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400
Fax
503-760-8577
Last updated
July 15, 2010

All City Denture Clinic PC is a healthcare organization based in Portland, OR. All City Denture Clinic PC practices in Portland, OR. The NPI Number for All City Denture Clinic PC is 1366755613 and holds a License No. DTDO949472 (OR). The current practice location address for All City Denture Clinic PC is 12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400 and can be reached out via phone at 503-760-8409 and via fax at 503-760-8577.

Provider Profile Details

NPI Number
1366755613
Provider Name
All City Denture Clinic PC
Provider Entity Type
Organization
Address
12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400
Phone Number
503-760-8409
Fax Number
503-760-8577
Primary Taxonomy
Dental Laboratory · 292200000X
Organization Subpart
No
Authorized Official
Walter James Peterson, DT-DO · Employer · 503-760-8409
Provider Enumeration Date
July 15, 2010
Last Update Date
July 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
12661 SE Powell Blvd
Suite B
Portland, OR 97236-3400
State
Oregon
Zip
97236-3400
Phone Number
503-760-8409
Fax Number
503-760-8577
Portland, OR 97236Get directions →

Provider Business Mailing Address Details

Address
12661 SE Powell Blvd
Suite B
Portland, OR 97236-3400
City
Portland
State
OR
Zip
97236-3400
Phone Number
503-760-8409
Fax Number
503-760-8577

License Information

License Number
DTDO949472
License State
OR
Taxonomy
Dental Laboratory · 292200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of All City Denture Clinic PC?

The NPI number of All City Denture Clinic PC is 1366755613. It was assigned on July 15, 2010 and is currently active in the NPPES registry.

What is the specialty of All City Denture Clinic PC?

All City Denture Clinic PC is registered under the primary taxonomy Dental Laboratory (code 292200000X), licensed in OR under license number DTDO949472.

Where does All City Denture Clinic PC practice?

The practice location is 12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400. The office can be reached at 503-760-8409 (phone) or 503-760-8577 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366755613 directly on the NPPES registry website.

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