Family Dental Care, Inc

LBN: Family Dental Care, Inc
Family Dental Care, Inc is an health care organization with primary practice located at 1890 Ne 162Nd Ave , Portland OR 97230-5642. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Family Dental Care, Inc can be contacted via phone (503) 644-1110, or through Nouredine, Hadi via phone (503) 644-1110.

Contact Information

Primary practice address
1890 Ne 162Nd Ave Portland OR 97230-5642
Phone: (503) 644-1110
Fax: (503) 641-6431
Website:
Map and Directions
Authorized official contact:
Name: Nouredine, Hadi Doctor of Dental Medicine (DMD)
Phone: (503) 644-1110

Health care specialties

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

Profile Details

NPI number 1124264841
LBN Legal business name Family Dental Care, Inc
DBA Doing business as
Authorized official Nouredine, Hadi Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2008
Last updated Dec 30th, 2008 - about 17 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 1124264841 NPPES
Oregon Other 127058 DHS CONTRACT NUMBER

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