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NPI Code Detail

MEDICARE: DR. EDWARD LOUIS EPIFANI DMD

MEDICARE: DR. EDWARD LOUIS EPIFANI DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD6785OR

General Provider Information

NPI Number : 1114926656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD LOUIS EPIFANI DMD
Provider Business Mailing Address
First Line : 1296 COMMERCIAL ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4200
Country : US
Telephone Number : 503-585-4282
Fax Number : 503-375-9534
Provider Business Practice Location Address
First Line : 1296 COMMERCIAL ST SE
Second Line : SUITE 101
City : SALEM
State : OR
Zip : 97302-4204
Country : US
Telephone Number : 503-585-4282
Fax Number : 503-375-9534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD LOUIS EPIFANI DMD” Practice Location

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