Powell Dental Specialties
LBN: Powell Dental Specialties
Powell Dental Specialties is an health care organization with primary practice located at 12661 Se Powell Blvd Ste D , Portland OR 97236-3400. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty.
Powell Dental Specialties can be contacted via phone (503) 760-1880, or through Bassili, Tony Gaby via phone (503) 432-3997.
Contact Information
Primary practice address
12661 Se Powell Blvd Ste D
Portland OR 97236-3400
Phone: (503) 760-1880
Fax: (503) 775-6849
Website:
Authorized official contact:
Name: Bassili, Tony Gaby Doctor of Dental Medicine (DMD)
Phone: (503) 432-3997
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D7799 | Oregon |
Profile Details
| NPI number | 1306183074 |
|---|---|
| LBN Legal business name | Powell Dental Specialties |
| DBA Doing business as | |
| Authorized official | Bassili, Tony Gaby Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2013 |
| Last updated | Jan 14th, 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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