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Hales Dental Practice, Pc
Point of Service in Grants Pass, Oregon
NPI 1790229383

Hales Dental Practice, Pc is a Point of Service based in Grants Pass, OR. Hales Dental Practice, Pc practices in Grants Pass, OR. The NPI Number for Hales Dental Practice, Pc is 1790229383 and holds a License No. D6777 (Oregon).

The current practice location address for Hales Dental Practice, Pc is 781 Ne 7Th St, Grants Pass, OR and can be reached out via phone at 541-474-1100 and via fax at 541-474-1103.

Location: 781 Ne 7Th St, Grants Pass, OR, 97526-1654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790229383
Provider Name
Hales Dental Practice, Pc
Credential
Provider Entity Type
Organization
Address
781 Ne 7Th St, Grants Pass, OR, 97526-1654
Phone Number
541-474-1100
Fax Number
541-474-1103
Provider Enumeration Date
12/15/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6080140001 01 OR MEDICARE DME PTAN
040241 05 OR
institution
Provider Business Practice Location Address Details
Address
781 Ne 7Th St
City
Grants Pass
State
Oregon
Zip
97526-1654
Phone Number
541-474-1100
Fax Number
541-474-1103
person
Provider Business Mailing Address Details
Address
781 Ne 7Th St
City
Grants Pass
State
Oregon
Zip
97526-1654
Phone Number
541-474-1100
Fax Number
541-474-1103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D6777 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
D6777 (Oregon)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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