Southside Dental Pc

LBN: Southside Dental Pc
Southside Dental Pc is an health care organization with primary practice located at 3460 Liberty Rd S , Salem OR 97302-4607. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Southside Dental Pc can be contacted via phone (503) 763-9797, or through Owens, Jennifer P. via phone (503) 763-9797.

Contact Information

Primary practice address
3460 Liberty Rd S Salem OR 97302-4607
Phone: (503) 763-9797
Fax: (503) 763-9779
Website:
Map and Directions
Authorized official contact:
Name: Owens, Jennifer P.
Phone: (503) 763-9797

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7830 Oregon

Profile Details

NPI number 1235314667
LBN Legal business name Southside Dental Pc
DBA Doing business as
Authorized official Owens, Jennifer P.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 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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