Active NPIOrganization

Canterbury Dental, LLC

Dentist, General Practice in Tigard, Oregon

NPI Number1821104407
Practice location
14465 SW Pacific Hwy, Tigard, OR 97224-3662
Fax
503-620-5355
Last updated
August 22, 2020

Canterbury Dental, LLC is a healthcare organization based in Tigard, OR. Canterbury Dental, LLC practices in Tigard, OR. The NPI Number for Canterbury Dental, LLC is 1821104407 and holds a License No. D6800 (OR). The current practice location address for Canterbury Dental, LLC is 14465 SW Pacific Hwy, Tigard, OR 97224-3662 and can be reached out via phone at 503-620-9333 and via fax at 503-620-5355.

Provider Profile Details

NPI Number
1821104407
Provider Name
Canterbury Dental, LLC
Provider Entity Type
Organization
Address
14465 SW Pacific Hwy, Tigard, OR 97224-3662
Phone Number
503-620-9333
Fax Number
503-620-5355
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Carvel Leralph Stander, DMD · Owner · 503-620-9333
Provider Enumeration Date
August 23, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
14465 SW Pacific Hwy
Tigard, OR 97224-3662
City
Tigard
State
Oregon
Zip
97224-3662
Phone Number
503-620-9333
Fax Number
503-620-5355
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
14465 SW Pacific Hwy
Tigard, OR 97224-3662
City
Tigard
State
OR
Zip
97224-3662
Phone Number
503-620-9333
Fax Number
503-620-5355

License Information

License Number
D6800
License State
OR
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Canterbury Dental, LLC?

The NPI number of Canterbury Dental, LLC is 1821104407. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Canterbury Dental, LLC?

Canterbury Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D6800.

Where does Canterbury Dental, LLC practice?

The practice location is 14465 SW Pacific Hwy, Tigard, OR 97224-3662. The office can be reached at 503-620-9333 (phone) or 503-620-5355 (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 1821104407 directly on the NPPES registry website.

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