DR. AUSTIN PHOENIX, D.M.D., M.S.D.

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1538349774

Practice Address

443 NW BURNSIDE RD
Gresham, OR 97030

Phone: (503) 492-8487

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes D9012 (OR)

Frequently Asked Questions

NPI 1538349774 is the National Provider Identifier for DR. AUSTIN PHOENIX, D.M.D., M.S.D., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Gresham, OR. This NPI was enumerated on November 5, 2007.
DR. AUSTIN PHOENIX, D.M.D., M.S.D. practices at 443 NW BURNSIDE RD, Gresham, OR 97030.

Quick Facts

NPI
1538349774
Type
Individual
Enumerated
Nov 5, 2007
Last Updated
Nov 5, 2007

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