Organization
NEIGHBORHOOD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE SELLERS DMD (PRESIDENT)
(503) 363-8466
Entity
Organization
Contact information
Practice address
1109 LIBERTY CIR S, SALEM, OR 97306-2435
(503) 363-8466
(503) 485-2986
Mailing address
1109 LIBERTY CIR S, SALEM, OR 97306-2435
(503) 363-8466
(503) 485-2986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8945
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006311
—
OR
Enumeration date
05/24/2013
Last updated
05/24/2013
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