All City Denture Clinic PC
Dental Laboratory in Portland, Oregon
1366755613- Practice location
- 12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400
- Phone
- 503-760-8409
- Fax
- 503-760-8577
- Last updated
- July 15, 2010
All City Denture Clinic PC is a healthcare organization based in Portland, OR. The NPI number for All City Denture Clinic PC is 1366755613 and holds license No. DTDO949472 (OR). The current practice location address is 12661 SE Powell Blvd, Suite B, Portland, OR 97236-3400 and the office can be reached by phone at 503-760-8409 and by fax at 503-760-8577. The NPI was assigned on July 15, 2010 and the record was last updated in NPPES on July 15, 2010.
●Provider Profile Details
- NPI Number
- 1366755613
- Provider Name
- All City Denture Clinic PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dental Laboratory · 292200000X
- Organization Subpart
- No
- Authorized Official
- Walter James Peterson, DT-DO · Employer · 503-760-8409
- Enumeration Date
- July 15, 2010
- Last Update Date
- July 15, 2010
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 12661 SE Powell Blvd
Suite B
Portland, OR 97236-3400 - City
- Portland
- State
- Oregon
- ZIP
- 97236-3400
- Country
- US
- Phone Number
- 503-760-8409
- Fax Number
- 503-760-8577
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dental Laboratory | 292200000X | Yes | DTDO949472 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. DTDO949472 (OR).
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 at npiregistry.cms.hhs.gov.