Revolution Dental Implant Center

LBN: Revolution Dental Implant Center
Revolution Dental Implant Center is an health care organization with primary practice located at 19017 Beavercreek Rd , Oregon City OR 97045-9537. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Revolution Dental Implant Center can be contacted via phone (503) 777-3333, or through Houtman, Bradley via phone (503) 777-3333.

Contact Information

Primary practice address
19017 Beavercreek Rd Oregon City OR 97045-9537
Phone: (503) 777-3333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Houtman, Bradley
Phone: (503) 777-3333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1194423988
LBN Legal business name Revolution Dental Implant Center
DBA Doing business as
Authorized official Houtman, Bradley
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2023
Last updated Mar 7th, 2023 - about 3 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 1194423988 NPPES
Oregon Other D9000 STATE LICENSE NUMBER

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