<Unavail>

LBN: Greyslak Dental Llc
<Unavail> is an health care organization with primary practice located at 2318 Nw Kings Blvd , Corvallis OR 97330-3925. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Greyslak Dental Llc can be contacted via phone (541) 754-6116, or through Greyslak, Rose via phone (503) 830-3812.

Contact Information

Primary practice address
2318 Nw Kings Blvd Corvallis OR 97330-3925
Phone: (541) 754-6116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Greyslak, Rose Doctor of Dental Medicine (DMD)
Phone: (503) 830-3812

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10127 Oregon
Dental Providers / General Practice 1223G0001X D10104 Oregon

Profile Details

NPI number 1518453570
LBN Legal business name Greyslak Dental Llc
DBA Doing business as <Unavail>
Authorized official Greyslak, Rose Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2018
Last updated Jul 2nd, 2018 - about 8 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 1518453570 NPPES
Oregon Other 1417358961 JASON GREYSLAK

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