Pettygrove Dental Llc

LBN: Pettygrove Dental Llc
Pettygrove Dental Llc is an health care organization with primary practice located at 2267 Nw Pettygrove St , Portland OR 97210-2760. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pettygrove Dental Llc can be contacted via phone (503) 224-6317, or through Doran, Carmel Dudley via phone (503) 224-6317.

Contact Information

Primary practice address
2267 Nw Pettygrove St Portland OR 97210-2760
Phone: (503) 224-6317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doran, Carmel Dudley Doctor of Dental Surgery (DDS)
Phone: (503) 224-6317

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9708 Oregon

Profile Details

NPI number 1558801597
LBN Legal business name Pettygrove Dental Llc
DBA Doing business as
Authorized official Doran, Carmel Dudley Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2017
Last updated Feb 23rd, 2017 - about 9 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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