Basic Information
| Provider Information | |||||||||
| NPI: | 1255535175 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RHONEY | ||||||||
| FirstName: | DALE | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | DDS PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 A AVE | ||||||||
| Address2: | |||||||||
| City: | LAKE OSWEGO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970343038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036359371 | ||||||||
| FaxNumber: | 5036351559 | ||||||||
| Practice Location | |||||||||
| Address1: | 440 A AVE | ||||||||
| Address2: | |||||||||
| City: | LAKE OSWEGO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970343038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036359371 | ||||||||
| FaxNumber: | 5036351559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 04/09/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223X0400X | 9472 | OR | Y | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics |
No ID Information.