Advantage Lapine Qalicb, LLC
Organization Active NPI General Practice Dentistry · Redmond, OR
NPI 1164844494 · NPPES record last updated Jan 6, 2014
Key facts
- NPI
- 1164844494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D4459 (OR)
- Legal business name
- ADVANTAGE LAPINE QALICB, LLC
- Practice address
- 442 SW Umatilla Ave Ste 200
Redmond, OR 97756-7039 - Phone
- (541) 504-3900
- NPI assigned
- Jan 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Jeanne Dysert
- Title
- Executive VP of Operations
- Phone
- (541) 504-3900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D4459 | OR | Yes |
Addresses
Primary practice location
442 SW Umatilla Ave Ste 200
Redmond, OR 97756-7039
Mailing address
442 SW Umatilla Ave Ste 200
Redmond, OR 97756-7039
Phone (541) 504-3900
Other providers in Redmond, OR
- Advantage Dental Clinics LLC
- Advantage Dental Clinics, LLC
- Advantage Dental Services, LLC
- Advantage Dental Specialists, LLC
- Advantage Harbor Qalicb, LLC
- Heather A Ahlf
- Eveangela Ortencia Ahmed
- Shashi Ajmani
- Shaan Akhtar
- Michelle Adeyilola Akinkuolie
All providers in Redmond, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 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.