Lakeside Family Dentistry
Dentist, General Practice in Lincoln City, OR. Organization (NPI-2).
NPI number1982198719
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1982198719
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeside Family Dentistry
- Organization subpart
- No
- Enumeration date
- Jun 15, 2018
- Last updated
- Jun 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8192 | OR | Yes |
Practice location
3173 Ne West Devils Lake Rd.Lincoln City, OR 97367
Phone 541-994-8135 · Fax 541-994-8136
Mailing address
3173 Ne West Devils Lake Rd.Lincoln City, OR 97367
Phone 541-994-8135 · Fax 541-994-8136
Authorized official
James A Ransom
Owner/Dentist
5419948135
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