Villebois Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7025 Issued in OR

Legal business name

VILLEBOIS DENTAL, LLC

Practice address

28900 SW Villebois Dr N Ste D
Wilsonville, OR 97070-7347

Phone

(503) 682-1317

Fax

(503) 482-5799

NPI assigned

Sep 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Ralph Duffin, DDS

Title

Dentist/Owner

Phone

(503) 682-1317

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1871875401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28900 SW VILLEBOIS DR N STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707347",
            "telephone_number": "503-682-1317",
            "fax_number": "503-482-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28900 SW VILLEBOIS DR N STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707347",
            "telephone_number": "503-682-1317",
            "fax_number": "503-482-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLEBOIS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "DUFFIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-682-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.