Jantzen Beach Modern Dentistry, PC
Jantzen Beach Modern Dentistry, PC is a General Practice Dentistry in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12239 N Center AvePortland, OR 97217-7806
Phone: (503) 241-1800
Fax: (503) 241-1807
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1558792051 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Cockrell — Owner · (503) 241-1800 |
| Other names | Jantzen Beach Modern Dentistry |
| NPI enumerated | December 9, 2013 |
| Last updated in NPPES | December 9, 2013 |
| Mailing address | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
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