Boone'S Landing Dental Center, LLC
Organization Active NPI Dentist · Wilsonville, OR
NPI 1134472723 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1134472723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D6595 (OR)
- Legal business name
- BOONE'S LANDING DENTAL CENTER, LLC
- Practice address
- 30485 SW Boones Ferry Rd
Suite 203
Wilsonville, OR 97070-7845 - Phone
- (503) 682-3743
- Fax
- (503) 682-1279
- NPI assigned
- Oct 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Margaret Boone, DMD
- Title
- Dentist
- Phone
- (503) 682-3743
National Provider Directory
Locations
29970 SW Town Center Loop W
Ste D
Wilsonville, OR 97070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D6595 | OR | Yes |
Addresses
Primary practice location
30485 SW Boones Ferry Rd
Suite 203
Wilsonville, OR 97070-7845
Mailing address
29970 SW Town Center Loop W
Suite D
Wilsonville, OR 97070-7429
Phone (503) 682-3743
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. 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.