Provider Demographics
NPI:1992855837
Name:GENTLE DENTAL OF OREGON PC
Entity Type:Organization
Organization Name:GENTLE DENTAL OF OREGON PC
Other - Org Name:GENTLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JK
Authorized Official - Last Name:SAIGET
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-449-5700
Mailing Address - Street 1:1101 SE TECH CENTER DR
Mailing Address - Street 2:SUITE 195
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5504
Mailing Address - Country:US
Mailing Address - Phone:360-449-5700
Mailing Address - Fax:360-449-5715
Practice Address - Street 1:1101 SE TECH CENTER DR
Practice Address - Street 2:SUITE 195
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5504
Practice Address - Country:US
Practice Address - Phone:360-449-5700
Practice Address - Fax:360-449-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty