NPI 1790169217 · live from the CMS NPI Registry
Ortho Country Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Mcminnville, OR. National Provider Identifier 1790169217, active.
NPI record
| NPI | 1790169217 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1300 Ne Alpha Dr, Mcminnville, OR 97128 |
| Practice phone | 512-947-8916 |
| Enumerated | July 14, 2015 |
| Last updated | July 14, 2015 |
| Authorized official | Kent Jensen, Cfo |
| Other names | Ortho Country Ortho |
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.