Provider Demographics
NPI:1831319474
Name:THE ART OF SMILEMAKING
Entity Type:Organization
Organization Name:THE ART OF SMILEMAKING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-675-0830
Mailing Address - Street 1:4200 SW MERCANTILE DR
Mailing Address - Street 2:STE 740
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:503-699-7691
Mailing Address - Fax:503-675-0830
Practice Address - Street 1:4200 SW MERCANTILE DR
Practice Address - Street 2:STE 740
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035
Practice Address - Country:US
Practice Address - Phone:503-699-7691
Practice Address - Fax:503-675-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty