Provider Demographics
NPI:1346678877
Name:ARROW DENTAL LLC
Entity Type:Organization
Organization Name:ARROW DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP & PRESIDENT OF ODS
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:TEN PAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-948-5544
Mailing Address - Street 1:1880 LANCASTER DR NE STE 121
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1069
Mailing Address - Country:US
Mailing Address - Phone:971-600-3498
Mailing Address - Fax:
Practice Address - Street 1:1880 LANCASTER DR NE STE 121
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1069
Practice Address - Country:US
Practice Address - Phone:971-600-3498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty