Marshall Street Dental Clinic

LBN: Marshall Street Dental Clinic
Marshall Street Dental Clinic is an health care organization with primary practice located at 344 Ne Marshall Ave , Bend OR 97701-4346. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Marshall Street Dental Clinic can be contacted via phone (541) 389-1704, or through Shirtcliff, Ralph Michael via phone (541) 389-1704.

Contact Information

Primary practice address
344 Ne Marshall Ave Bend OR 97701-4346
Phone: (541) 389-1704
Fax: (541) 389-1705
Website:
Map and Directions
Authorized official contact:
Name: Shirtcliff, Ralph Michael Doctor of Dental Medicine (DMD)
Phone: (541) 389-1704

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-4459 Oregon

Profile Details

NPI number 1245417450
LBN Legal business name Marshall Street Dental Clinic
DBA Doing business as
Authorized official Shirtcliff, Ralph Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 18 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 1245417450 NPPES
Oregon MEDICAID 180968

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