Provider Demographics
NPI:1770382814
Name:DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC
Entity type:Organization
Organization Name:DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DISCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-710-1489
Mailing Address - Street 1:3943 DOUGLAS WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3453
Mailing Address - Country:US
Mailing Address - Phone:503-635-4439
Mailing Address - Fax:503-699-9405
Practice Address - Street 1:3943 DOUGLAS WAY
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3453
Practice Address - Country:US
Practice Address - Phone:503-635-4439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty