ANGELLIFT DENTAL CENTER – NPI #1790229383
Clinic/Center

ANGELLIFT DENTAL CENTER is an AHC clinic located in GRANTS PASS, OR. NPPES has assigned the NPI number 1790229383 to ANGELLIFT DENTAL CENTER on December 15, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANGELLIFT DENTAL CENTER” is a dba name, the actual legal business name for this organization is HALES DENTAL PRACTICE, PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELLIFT DENTAL CENTER below.

NPI Profile for
HALES DENTAL PRACTICE, PC

NPI Number
1790229383
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HALES DENTAL PRACTICE, PC
Doing Business As (dba): ANGELLIFT DENTAL CENTER
Primary location
781 NE 7TH ST
B
GRANTS PASS, OR 97526-1654
Phone: (541) 474-1100 Fax: (541) 474-1103
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JIM HALES
DENTIST/OWNER
Phone: (541) 474-1100
Updated
Identifiers

Identifiers for ANGELLIFT DENTAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE DME PTANOR6080140001
MEDICAIDOR040241
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 OR D6777
305S00000X
- Point of Service		 OR D6777

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.