Provider Demographics
NPI:1194823369
Name:DISCHINGER ORTHODONTICS PC
Entity Type:Organization
Organization Name:DISCHINGER ORTHODONTICS PC
Other - Org Name:DISCHINGER TEAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DISCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-635-4439
Mailing Address - Street 1:3943 DOUGLAS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:503-635-4439
Mailing Address - Fax:503-699-9405
Practice Address - Street 1:3943 DOUGLAS WAY
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035
Practice Address - Country:US
Practice Address - Phone:503-635-4439
Practice Address - Fax:503-699-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
D74041223X0400X
D50371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty