NPI 1649573585 · live from the CMS NPI Registry
Advantage Dental Associates Of Crook County, LLC
Dentist, General Practice in Prineville, OR. National Provider Identifier 1649573585, active.
NPI record
| NPI | 1649573585 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 257 Ne 2nd St, Prineville, OR 97754 |
| Practice phone | 541-447-5838 |
| Enumerated | December 15, 2010 |
| Last updated | December 15, 2010 |
| Authorized official | R. Mike Shirtcliff, Authorized Representative |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.