Exceptional Needs Dental Services (Ends)

LBN: Exceptional Needs Dental Services (Ends)
Exceptional Needs Dental Services (Ends) is an health care organization with primary practice located at 12029 Ne Sumner St , Portland OR 97220-9015. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Exceptional Needs Dental Services (Ends) can be contacted via phone (503) 295-1201, or through Ayres, Tonia via phone (503) 295-1201.

Contact Information

Primary practice address
12029 Ne Sumner St Portland OR 97220-9015
Phone: (503) 295-1201
Fax: (503) 295-1211
Website:
Map and Directions
Authorized official contact:
Name: Ayres, Tonia
Phone: (503) 295-1201

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 821498 Oregon

Profile Details

NPI number 1073676037
LBN Legal business name Exceptional Needs Dental Services (Ends)
DBA Doing business as
Authorized official Ayres, Tonia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 22nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073676037 NPPES
Oregon MEDICAID 086020

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