Organization
HICKORY ST LLC
Active
Other names
Springhill dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANPREET FLYNN DDS (OWNER)
(541) 406-3500
Entity
Organization
Contact information
Practice address
637 HICKORY ST NW STE 110, ALBANY, OR 97321-1761
(541) 406-3500
Mailing address
637 HICKORY ST NW STE 110, ALBANY, OR 97321-1761
(541) 406-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130509300
—
WY
05
—
1861621641
—
NE
05
—
82673551
—
CO
Enumeration date
01/17/2020
Last updated
01/17/2020
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