Organization
BEAVERTON DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAMS (OWNER)
(503) 641-4328
Entity
Organization
Contact information
Practice address
11673 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-2928
(503) 641-4328
(503) 644-8454
Mailing address
11673 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-2928
(503) 641-4328
(503) 644-8454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2004
OR
122400000X
Denturist
27130
OR
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us