Alameda Dental LLC
Organization Active NPI General Practice Dentistry · Portland, OR
NPI 1972854628 · NPPES record last updated Sep 20, 2012
Key facts
- NPI
- 1972854628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D6582 (OR)
- Legal business name
- ALAMEDA DENTAL LLC
- Practice address
- 2422 NE Fremont St
Portland, OR 97212-2509 - Phone
- (503) 287-1554
- NPI assigned
- Sep 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Ronald C Selis, D.M.D.
- Title
- President
- Phone
- (503) 287-1554
Practitioners 2
-
Ronald Charles Selis, DMD, PC
-
Heather Nicole Weber, DDS
National Provider Directory
Locations
2422 NE Fremont St
Portland, OR 97212
Phone (503) 287-1554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D6582 | OR | Yes |
Addresses
Primary practice location
2422 NE Fremont St
Portland, OR 97212-2509
Mailing address
2422 NE Fremont St
Portland, OR 97212-2509
Other providers in Portland, OR
- Talal Alabduljalil
- Leonie North Alaeddine
- Christopher O Alaka
- John S Alam
- Kelsey Susan Alama
- Lyndsay E. Alameda
- Halah S Alameri
- Alana J Duschane LLC
- Ahmed Alani
- Alaniz Family & Cosmetic Dentistry, PC
All providers in Portland, 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 Sep 20, 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.