ALL CITY DENTURE CLINIC PC – NPI #1366755613
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

Health Care Provider Taxonomy Code for Dental Laboratory

ALL CITY DENTURE CLINIC PC is a dental laboratory located in PORTLAND, OR. NPPES has assigned the NPI number 1366755613 to ALL CITY DENTURE CLINIC PC on July 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 292200000X from the Health Care Provider Taxonomy code set, which is classified as Dental Laboratory.

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 ALL CITY DENTURE CLINIC PC below.

NPI Profile for
ALL CITY DENTURE CLINIC PC

NPI Number
1366755613
Enumeration Date

(about 16 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
ALL CITY DENTURE CLINIC PC
Primary location
12661 SE POWELL BLVD
SUITE B
PORTLAND, OR 97236-3400
Phone: (503) 760-8409 Fax: (503) 760-8577
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTER PETERSON
EMPLOYER
Phone: (503) 760-8409
Updated
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
292200000X
- Dental Laboratory (Primary)		 OR DTDO949472

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.