Mt. Hood Dental Clinic
Organization Active NPI Dental Clinic/Center · Sandy, OR
NPI 1992064646 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1992064646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- D6973 (OR)
- Legal business name
- MT. HOOD DENTAL CLINIC
- Practice address
- 39880 Pleasant St
Sandy, OR 97055 - Phone
- (503) 668-6226
- Fax
- (503) 668-9727
- NPI assigned
- May 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Barbara D Kim
- Title
- Office Manager
- Phone
- (503) 668-6226
Practitioners 1
-
Paul S Hansen, D.M.D.
National Provider Directory
Locations
39880 Pleasant St
Sandy, OR 97055
Phone (503) 668-6226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D6973 | OR | Yes |
Addresses
Primary practice location
39880 Pleasant St
Sandy, OR 97055
Mailing address
PO Box 458
Sandy, OR 97055-0458
Phone (503) 668-6226
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 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.