Eric N Dahle DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

D6574 Issued in OR

Legal business name

ERIC N DAHLE DMD PC

Practice address

478 SW 12TH St
Ontario, OR 97914-3202

Phone

(541) 881-1794

Fax

(541) 889-2904

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eric N Dahle

Title

President

Phone

(541) 881-1794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1952572992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 SW 12TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143202",
            "telephone_number": "541-881-1794",
            "fax_number": "541-889-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 SW 12TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143202",
            "telephone_number": "541-881-1794",
            "fax_number": "541-889-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC N DAHLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "DAHLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-881-1794",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ontario, OR
• Providers in Ontario, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.