Benjamin Lively is a Portland, Oregon based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Benjamin Lively is D10603 for Dentistry in Oregon. His current practice location is 2730 S Moody Ave, Portland. Patients can reach him at 214-726-6404.
Benjamin Lively is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Benjamin Lively speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Benjamin Lively
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2730 S Moody Ave, Portland, Oregon, 97201-5042
Phone:
214-726-6404
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 are as mentioned below.
NPI Number:
1891226569
NPI Enumeration Date:
24 Mar, 2017
NPI Last Update On:
04 Jun, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin Lively are as mentioned below.
License Number
Specialization
State
Status
D10603
Dentistry
Oregon
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:
2730 S Moody Ave, Portland, Oregon
Zip:
97201-5042
Patients can reach Benjamin Lively at 2730 S Moody Ave, Portland, Oregon or can call to book an appointment on 214-726-6404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.