Arrow Dental LLC
Organization Active NPI Dentist · Portland, OR
NPI 1477041267 · NPPES record last updated Apr 26, 2018
Key facts
- NPI
- 1477041267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ARROW DENTAL LLC
- Practice address
- 601 SW Second Avenue
Portland, OR 97204-3156 - Phone
- (503) 412-4194
- Fax
- (503) 952-5259
- NPI assigned
- Apr 26, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ARROW DENTAL LLC
Authorized official
- Name
- Teri Barichello, DMD
- Title
- VP Dental/Chief Dental Officer
- Phone
- (503) 412-4198
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Arrow Dental LLC
- Part of
- Arrow Dental LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
601 SW Second Avenue
Portland, OR 97204-3156
Mailing address
601 SW Second Avenue
Portland, OR 97204-3156
Phone (503) 412-4194
Other names
- Arrow Dental - Portable
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2018. 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.