MEDICARE: OREGON PIP DENTAL GROUP, 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	1223P0221X	Pediatric Dentistry	D7666	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730412149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OREGON PIP DENTAL GROUP, PC

Provider Business Mailing Address
First Line	:	419 STATE ST STE 4
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-2075
Country	:	US
Telephone Number	:	541-387-8688
Fax Number	:	541-387-6785

Provider Business Practice Location Address
First Line	:	419 STATE ST STE 4
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-2075
Country	:	US
Telephone Number	:	541-387-8688
Fax Number	:	541-387-6785

Authorized Official
Title or Position	:	REGIONAL OPERATION MANAGER
Name	:	MELLISSA RENNER
Credential	:
Telephone Number	:	541-571-7145

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	10/07/2019

Similar Medicare Providers

1710989827 — DR. JERALD KYLE HOUSE D.D.S.
Practice Location Address:

419 STATE ST , STE 4
HOOD RIVER, OR
97031-2075

Practice Phone: 541-387-8688
Practice Fax: 541-387-6785

1306029590 — AARON M LOYD MD
Practice Location Address:

917 11TH ST
HOOD RIVER, OR
97031-1578

Practice Phone: 541-386-2517
Practice Fax: 541-386-1919

1902757180 — STEVEN COLE
Practice Location Address:

810 12TH ST
HOOD RIVER, OR
97031-1587

Practice Phone: 541-386-3911
Practice Fax:

1053458505 — TARYN KING ANDREE DPT
Practice Location Address:

2847 PROSPECT AVE
HOOD RIVER, OR
97031-1060

Practice Phone: 541-288-8064
Practice Fax:

1558365965 — MARLA M ST. JOHN D.C.
Practice Location Address:

1942 12TH ST
HOOD RIVER, OR
97031-9542

Practice Phone: 541-386-1638
Practice Fax: 541-308-0614

1407851454 — DR. KATHY GREWE MD
Practice Location Address:

1304 MONTELLO AVE
HOOD RIVER, OR
97031-1544

Practice Phone: 541-387-6125
Practice Fax: 541-387-6315

Directions to “OREGON PIP DENTAL GROUP, 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 © 2007-2026 (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.