NPI 1467061796 · live from the CMS NPI Registry
Crescent Orthodontic Services LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Woodburn, OR. National Provider Identifier 1467061796, active.
NPI record
| NPI | 1467061796 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 979 Young St Ste C, Woodburn, OR 97071 |
| Practice phone | 503-981-4095 |
| Enumerated | July 22, 2020 |
| Last updated | August 13, 2020 |
| Authorized official | Daniel Hoopes, Owner |
| Other names | Daniel Hoopes |
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.