NPI 1205213303

Pioneer Dental Group PC

Organisation General Practice Dentistry Oregon City, OR

Practice location

Address: 19129 Beavercreek Rd, Oregon City, OR 97045-9539
Phone: (503) 305-5051
Fax: (503) 342-6069

Authorised official

Name: Raleigh Scott Pioch
Title: President
Phone: (503) 867-7179

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D9000 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1205213303
Entity type: Organization
NPI issued: 28 Apr 2015
Record last updated: 17 Nov 2015

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.