Active NPIOrganization

2ND & Madison Dental

Dentist in Portland, Oregon

NPI Number1497197230
Practice location
100 SW Main St, Suite 165, Portland, OR 97204-3218
Fax
—
Last updated
July 22, 2013

2ND & Madison Dental is a healthcare organization based in Portland, OR. The NPI number for 2ND & Madison Dental is 1497197230. The current practice location address is 100 SW Main St, Suite 165, Portland, OR 97204-3218 and the office can be reached by phone at 949-498-5761. The NPI was assigned on July 22, 2013 and the record was last updated in NPPES on July 22, 2013.

●Provider Profile Details

NPI Number
1497197230
Provider Name
2ND & Madison Dental
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Cindy O'Loughlin, DDS · Managing Member · 949-498-5761
Enumeration Date
July 22, 2013
Last Update Date
July 22, 2013
NPI Status
Active

◉Business Practice Location Address

Address
100 SW Main St
Suite 165
Portland, OR 97204-3218
State
Oregon
ZIP
97204-3218
Country
US
Phone Number
949-498-5761

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✉Business Mailing Address

Address
100 SW Main St
Suite 165
Portland, OR 97204-3218
City
Portland
State
OR
ZIP
97204-3218
Phone Number
949-498-5761

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist
193400000X - Multiple Single Specialty Group
122300000XYes——

#Other Provider Identifiers

No legacy or other 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 2ND & Madison Dental?

The NPI number of 2ND & Madison Dental is 1497197230. It was assigned on July 22, 2013 and is currently active in the NPPES registry.

What is the specialty of 2ND & Madison Dental?

2ND & Madison Dental is registered under the primary taxonomy Dentist (code 122300000X).

Where does 2ND & Madison Dental practice?

The practice location is 100 SW Main St, Suite 165, Portland, OR 97204-3218. The office can be reached at 949-498-5761 (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 1497197230 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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