MEDICARE: DOUGLAS BRIAN RETZLAFF DMD, PC

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
1	1223G0001X	General Practice Dentistry	6338	OR

General Provider Information

NPI Number	:	1033227731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS BRIAN RETZLAFF DMD, PC

Provider Business Mailing Address
First Line	:	1104 MOLALLA AVE
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-3740
Country	:	US
Telephone Number	:	503-656-7131
Fax Number	:	503-656-6382

Provider Business Practice Location Address
First Line	:	1104 MOLALLA AVE
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-3740
Country	:	US
Telephone Number	:	503-656-7131
Fax Number	:	503-656-6382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1922558055 — GSO EQUIPMENT CORP
Practice Location Address:

1130 MOLALLA AVE
OREGON CITY, OR
97045-3740

Practice Phone: 503-692-3750
Practice Fax: 503-691-2324

1639190697 — SUCCESSION EQUITY GROUP
Practice Location Address:

3740 CARTWRIGHT RD
MISSOURI CITY, TX
77459

Practice Phone: 281-499-4555
Practice Fax: 281-499-7088

1326055344 — WALGREEN CO
Practice Location Address:

3740 W TRUMAN BLVD
JEFFERSON CITY, MO
65109-0537

Practice Phone: 573-893-1044
Practice Fax: 573-893-1041

1174647523 — MR. YASER SAMIH YOUSEF RPH
Practice Location Address:

36019 HWY 27
HAINES CITY, FL
33844-3740

Practice Phone: 863-421-0639
Practice Fax: 863-421-0578

1740477561 — ALPHA-1 MEDICAL SERVICES INC.
Practice Location Address:

1037 W US HIGHWAY 90 STE 120
LAKE CITY, FL
32055-3740

Practice Phone: 386-961-9113
Practice Fax:

1194909358 — MRS. YVONNE E SHAKES
Practice Location Address:

5738 HORTON RD
PLANT CITY, FL
33567-3740

Practice Phone: 813-737-2899
Practice Fax: 813-650-8654

Directions to “ DOUGLAS BRIAN RETZLAFF DMD, PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.