Dr. Ronald Graham McEntire, DDS
Dentist, General Practice in Pendleton, OR. Individual provider (NPI-1).
NPI number1063545366
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1063545366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Graham McEntire
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2007
- Certification date
- Nov 29, 2021
- Last updated
- Nov 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D10341 | OR | Yes |
| 122300000X | Dentist | DE00007097 | WA |
Other names
- R Graham McEntire (Other Name)
Practice location
1100 Southgate Ste 3Pendleton, OR 97801
Phone 541-276-5272 · Fax 541-276-7212
Mailing address
1100 Southgate Ste 3Pendleton, OR 97801
Phone 541-276-5272 · Fax 541-276-7212
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