Active NPIOrganization

Alameda Dental LLC

Dentist, General Practice in Portland, Oregon

NPI Number1972854628
Practice location
2422 NE Fremont St, Portland, OR 97212-2509
Fax
—
Last updated
September 20, 2012

Alameda Dental LLC is a healthcare organization based in Portland, OR. Alameda Dental LLC practices in Portland, OR. The NPI Number for Alameda Dental LLC is 1972854628 and holds a License No. D6582 (OR). The current practice location address for Alameda Dental LLC is 2422 NE Fremont St, Portland, OR 97212-2509 and can be reached out via phone at 503-287-1554.

Provider Profile Details

NPI Number
1972854628
Provider Name
Alameda Dental LLC
Provider Entity Type
Organization
Address
2422 NE Fremont St, Portland, OR 97212-2509
Phone Number
503-287-1554
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ronald C Selis, DMD · President · 503-287-1554
Provider Enumeration Date
September 20, 2012
Last Update Date
September 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2422 NE Fremont St
Portland, OR 97212-2509
State
Oregon
Zip
97212-2509
Phone Number
503-287-1554
Portland, OR 97212Get directions →

Provider Business Mailing Address Details

Address
2422 NE Fremont St
Portland, OR 97212-2509
City
Portland
State
OR
Zip
97212-2509

License Information

License Number
D6582
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 Alameda Dental LLC?

The NPI number of Alameda Dental LLC is 1972854628. It was assigned on September 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Alameda Dental LLC?

Alameda Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D6582.

Where does Alameda Dental LLC practice?

The practice location is 2422 NE Fremont St, Portland, OR 97212-2509. The office can be reached at 503-287-1554 (phone).

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 1972854628 directly on the NPPES registry website.

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