Organization
ACORN DENTISTRY FOR KIDS - EAST SALEM, LLC
Active
Other names
Acorn Dentistry for Kids - East Salem
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RICHARDSON DDS (CEO/DDS)
(503) 874-4560
Entity
Organization
Contact information
Practice address
799 LANCASTER DR NE, SUITE 140, SALEM, OR 97301
(503) 874-4560
(503) 874-4562
Mailing address
PO BOX 158, SILVERTON, OR 97381-0158
(503) 864-4560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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