Molalla Dental Clinic P.C.
Organization Active NPI Dentist · Molalla, OR
NPI 1104065184 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1104065184
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D7660 (OR)
- Legal business name
- MOLALLA DENTAL CLINIC P.C.
- Practice address
- 175 Grange Ave
Molalla, OR 97038 - Phone
- (503) 829-9734
- Fax
- (877) 247-4991
- NPI assigned
- Feb 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Jatinder Singn Dhadli, DDS
- Title
- Dentist Owner
- Phone
- (503) 829-9734
National Provider Directory
Locations
175 Grange Ave
Molalla, OR 97038
Phone (503) 829-7374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D7660 | OR | Yes |
Addresses
Primary practice location
175 Grange Ave
Molalla, OR 97038
Mailing address
PO Box 629
Molalla, OR 97038-0629
Phone (503) 829-9734
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.