OrganizationActive
Lane Community College Dental Clinic
NPI 1033539663 · Public Health Dentistry · Eugene, OR
Provider details
- NPI number
- 1033539663
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Parent organization
- Lane Community College
- Authorized official
- Sheryl Berman, Dean of Health Professions, Lcc
- License
- D5275 (OR)
Practice location
2460 Willamette St
Eugene, OR 97405-3169
Phone: (541) 463-5206
Fax: (541) 463-4178
Mailing address
4000 E 30th Ave
Eugene, OR 97405-0640
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2014-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.