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The Portland Dental Place
General Practice Dentistry in Portland, Indiana
NPI 1982972790

The Portland Dental Place is a General Practice Dentistry based in Portland, IN and is specialized in General Practice. The Portland Dental Place practices in Portland, IN. The NPI Number for The Portland Dental Place is 1982972790 and holds a License No. 12010271A (Indiana).

The current practice location address for The Portland Dental Place is 112 N Ship St, Portland, IN and can be reached out via phone at 260-726-4710 and via fax at 260-726-7051.

Location: 112 N Ship St, Portland, IN, 47371-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982972790
Provider Name
The Portland Dental Place
Credential
Provider Entity Type
Organization
Address
112 N Ship St, Portland, IN, 47371-1844
Phone Number
260-726-4710
Fax Number
260-726-7051
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200888510 05 IN
200962440 05 IN
institution
Provider Business Practice Location Address Details
Address
112 N Ship St
City
Portland
State
Indiana
Zip
47371-1844
Phone Number
260-726-4710
Fax Number
260-726-7051
person
Provider Business Mailing Address Details
Address
112 N Ship St
City
Portland
State
Indiana
Zip
47371-1844
Phone Number
260-726-4710
Fax Number
260-726-7051
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12010271A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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