Glide Dental

LBN: Jed R. Norman Dds Llc
Glide Dental is an health care organization with primary practice located at 1813 W Harvard Ave Ste 221 , Roseburg OR 97471-8704. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jed R. Norman Dds Llc can be contacted via phone (541) 672-6511, or through Norman, Jed R via phone (541) 672-6511.

Contact Information

Primary practice address
1813 W Harvard Ave Ste 221 Roseburg OR 97471-8704
Phone: (541) 672-6511
Fax: (541) 673-1892
Website:
Map and Directions
Authorized official contact:
Name: Norman, Jed R Doctor of Dental Surgery (DDS)
Phone: (541) 672-6511

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D8859 Oregon

Profile Details

NPI number 1902244619
LBN Legal business name Jed R. Norman Dds Llc
DBA Doing business as Glide Dental
Authorized official Norman, Jed R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 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 1902244619 NPPES
Oregon MEDICAID 278647

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