Provider Demographics
NPI:1467451716
Name:ENGLE, JOHN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:ENGLE
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1001 MOLALLA AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-3769
Mailing Address - Country:US
Mailing Address - Phone:503-656-0631
Mailing Address - Fax:503-557-8113
Practice Address - Street 1:1001 MOLALLA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-3769
Practice Address - Country:US
Practice Address - Phone:503-656-0631
Practice Address - Fax:503-557-8113
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR48961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry