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NPI Code Detail

MEDICARE: DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC

MEDICARE: DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1770382814
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC
Provider Business Mailing Address
First Line : 3943 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3453
Country : US
Telephone Number : 503-635-4439
Fax Number : 503-699-9405
Provider Business Practice Location Address
First Line : 3943 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3453
Country : US
Telephone Number : 503-635-4439
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. BILL DISCHINGER
Credential : DMD
Telephone Number : 503-710-1489
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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Directions to “DISCHINGER AND ENSLEY ORTHODONTIC GROUP TWO LLC ” Practice Location

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