NPI: 1821853193 · GLADSTONE, OR 97027 · General Practice Dentistry · NPI assigned 02/16/2024
| Authorized Official | JAMES, BENJAMIN (OWNER) |
| NPI Enumeration Date | 02/16/2024 |
Other providers sharing the same authorized official: JAMES, BENJAMIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| BLOOM PEDIATRIC DENTISTRY | DALLAS | OR | $538K |
| HONEYMINT PEDIATRIC DENTISTRY LLC | ALBANY | OR | $511K |
| 14TH AVENUE DENTAL LLC | ALBANY | OR | $3K |
| HAZEL DENTAL | SALEM | OR | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1330 | 17 | 17 | $0.00 |