NPI 1114517091

Aspen Dental Keizer Or LLC

Organisation General Practice Dentistry Keizer, OR

Practice location

Address: 2535 Jorie Ln NE STE 104, Keizer, OR 97303-4137
Phone: (503) 463-4000
Mailing address: PO Box 70887, Cleveland, OH 44190-0887

Authorised official

Name: Jeffrey Livingston
Title: Owner
Phone: (503) 463-4000

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1114517091
Entity type: Organization
NPI issued: 25 Jan 2021
Record last updated: 13 Jun 2023

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.