Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
McLoughlin Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
16230 SE MCLOUGHLIN BLVD, PORTLAND, OR 97267-4657
(503) 549-4136
Mailing address
16230 SE MCLOUGHLIN BLVD, PORTLAND, OR 97267-4657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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