Provider Demographics
NPI:1669067187
Name:PRECISION DENTURE INC
Entity type:Organization
Organization Name:PRECISION DENTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EPLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED DENTURIST
Authorized Official - Phone:541-500-1894
Mailing Address - Street 1:1055 COURT ST STE A
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-5727
Mailing Address - Country:US
Mailing Address - Phone:541-500-1894
Mailing Address - Fax:541-500-1066
Practice Address - Street 1:1055 COURT ST STE A
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-5727
Practice Address - Country:US
Practice Address - Phone:541-500-1894
Practice Address - Fax:541-500-1066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION DENTURE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory