NPI 1528102738 · live from the CMS NPI Registry
Orthodontic Specialty Care
Dentist, Orthodontics and Dentofacial Orthopedics in Albany, OR. National Provider Identifier 1528102738, active.
NPI record
| NPI | 1528102738 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1040 29th Ave Sw, Albany, OR 97321 |
| Practice phone | 541-926-4010 |
| Enumerated | February 19, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | David Lee, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6359 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.