Brodie Dental LLC
Dentist, General Practice in Jacksonville, OR. Organization (NPI-2).
NPI number1184807331
StatusActive
Last updated in NPPESDec 11, 2007
Details
- NPI
- 1184807331
- Entity type
- Organization (NPI-2)
- Legal business name
- Brodie Dental LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2007
- Last updated
- Dec 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
305 Shafer LnJacksonville, OR 97530-9681
Phone 541-899-8833 · Fax 541-899-1769
Mailing address
305 Shafer LnJacksonville, OR 97530-9681
Phone 541-899-8833 · Fax 541-899-1769
Authorized official
Scott W Brodie
Partner
5418998833
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Jacksonville, OR
- Applegate Valley Dental INCNPI 1750767661
- Applegate Valley Dental, INC.NPI 1477939494
- Rex F. Miller, DMD, PCNPI 1285797167
- Nathan M Tanner, DMDNPI 1821289984
All 5 General Practice Dentistry providers in Jacksonville · All 89 providers in Jacksonville
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.