NPI 1104531045 · live from the CMS NPI Registry
Floyd Family Orthodontics Holdings LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Molalla, OR. National Provider Identifier 1104531045, active.
NPI record
| NPI | 1104531045 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 863 W Main St Ste 200, Molalla, OR 97038 |
| Practice phone | 503-878-8887 |
| Mailing address | 2148 Satter St, West Linn, OR 97068 |
| Enumerated | January 16, 2023 |
| Last updated | January 16, 2023 |
| Authorized official | Daniel Floyd, Owner |
| Other names | Floyd Family Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.