Organization
NEIGHBORHOOD PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C PHILLIPS 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
D6697
OR
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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