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. The NPI number for Alameda Dental LLC is 1972854628 and holds license No. D6582 (OR). The current practice location address is 2422 NE Fremont St, Portland, OR 97212-2509 and the office can be reached by phone at 503-287-1554. The NPI was assigned on September 20, 2012 and the record was last updated in NPPES on September 20, 2012.

●Provider Profile Details

NPI Number
1972854628
Provider Name
Alameda Dental LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ronald C Selis, DMD · President · 503-287-1554
Enumeration Date
September 20, 2012
Last Update Date
September 20, 2012
NPI Status
Active

◉Business Practice Location Address

Address
2422 NE Fremont St
Portland, OR 97212-2509
State
Oregon
ZIP
97212-2509
Country
US
Phone Number
503-287-1554

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice
193400000X - Single Specialty Group
1223G0001XYesD6582OR

#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 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) and holds license No. D6582 (OR).

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 at npiregistry.cms.hhs.gov.

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