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Organization
MEMBERSPLUS DENTAL SPRINGFIELD
Active
Organization
MEMBERSPLUS DENTAL SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ADAMSON ROSE (REGIONAL MANAGER)
(971) 261-9539
Entity
Organization
Contact information
Practice address
1847 PIONEER PKWY E, SPRINGFIELD, OR 97477-3907
(541) 321-6238
(541) 418-4311
Mailing address
PO BOX 1541, ROSEBURG, OR 97470-0360
(541) 321-6238
(541) 418-4311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11641
OREGON BOARD OF DENTISTRY
OR
Enumeration date
08/11/2022
Last updated
03/07/2023
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