Back to Search

ICP TELEDENTISTRY

Public Health Dentistry

NPI: 1225771108Organization

Specialties, Licenses & Credentials

Dental Hygienist

Code: 124Q00000X

Dental Therapist

Code: 125J00000X

Dental Assistant

Code: 126800000X

Clinic/Center — Dental

Code: 261QD0000X

Clinic/Center — Oral and Maxillofacial Surgery

Code: 261QS0112X

Dentist — Dental Public Health

Code: 1223D0001X

Contact & Hours

Address
3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR 97214

Quick Facts

NPI
1225771108
Entity Type
Organization
Medicare
Not confirmed
Specialties
6
Locations
1

Are you this provider?

Claim Your Profile