OrganizationActive
Advantage Dental Group, PC
NPI 1831741958 · General Practice Dentistry · Boardman, OR
Provider details
- NPI number
- 1831741958
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sharon Edmondson, Manager, Licensing and Credentialin(629) 999-5014
Specialties & taxonomies
Dental Providers
Practice location
300 Tatone
Boardman, OR 97818
Phone: (541) 945-4008
Fax: (541) 516-4041
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11470
Eugene, OR 97440-3670
Other names (DBA / former)
- Doing business as
- Advantage Dental Oral Health Center
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.