Organization
JEFFREY CARL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D CARL DMD (PRESIDENT)
(541) 926-6089
Entity
Organization
Contact information
Practice address
917 19TH AVE SE, ALBANY, OR 97322-4228
(541) 926-6089
(541) 926-6196
Mailing address
3683 NW GLEN EDEN DR, CORVALLIS, OR 97330-9169
(541) 752-0378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7214
OR
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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