NPI 1003442518
Master Dental Smiles INC
Practice location
- Address
- 12661 SE Powell Blvd STE C, Portland, OR 97236-3400
- Phone
- (503) 761-1900
Authorised official
- Name
- James Robert Edwards
- Title
- Dentist
- Phone
- (503) 761-1900
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003442518
- Entity type
- Organization
- NPI issued
- 16 Mar 2020
- Record last updated
- 16 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.