Jantzen Beach Modern Dentistry is a Dental Clinic in Portland, Oregon. It is located at 12239 N Center Ave, Portland, OR and its contact number is 503-241-1800. The authorized person for Jantzen Beach Modern Dentistry is Dr. Todd R Cockrell
who is Owner of the clinic and their contact number is 503-241-1800. Jantzen Beach Modern Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jantzen Beach Modern Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jantzen Beach Modern Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
12239 N Center Ave, Portland, Oregon, 97217-7806
Phone:
503-241-1800
Fax:
503-241-1807
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Todd R Cockrell
Position:
Owner
Contact Number:
503-241-1800
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jantzen Beach Modern Dentistry clinic are as mentioned below.
NPI Number:
1558792051
NPI Enumeration Date:
09 Dec, 2013
NPI Last Update On:
09 Dec, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jantzen Beach Modern Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jantzen Beach Modern Dentistry 17000 Red Hill Ave, Irvine, California
Zip:
92614-5626
Phone Number:
714-845-8890
Fax Number:
949-474-1495
Patients can reach Jantzen Beach Modern Dentistry at 12239 N Center Ave, Portland, Oregon or can call to book an appointment on 503-241-1800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.