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Active NPI 1841283421 Organization (Entity Type 2)

Lisa M Gitelson Dmd Pc

Clinic/Center - Dental • Keizer, OR

About Lisa M Gitelson Dmd Pc NPI 1841283421 Summary

Lisa M Gitelson Dmd Pc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Keizer, OR. Located at 4734 RIVER RD N, this facility provides patient care and medical services under National Provider Identifier (NPI) 1841283421.

Administrative operations and authorized compliance are overseen by Lisa Gitelson (Doctor Owner).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4734 River Rd N

Keizer, OR 973034536

Telephone 5034634663
Fax 5034634666

Authorized Official Information

Authorized Contact Name

DR. Lisa Gitelson , DMD PC

Title / Role

Doctor Owner

Official Telephone

5034634663

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
Jada Hatchett NPI 1043186398

Physical Therapy Assistant

Keizer, OR

View Practitioner Profile →
Dr. Ben Sutter , DMD NPI 1457426538

Dentist - General Practice

Keizer, OR

View Practitioner Profile →

Dentist - General Practice

Keizer, OR

View Practitioner Profile →
Alicia Lopez NPI 1942956495

Physical Therapy Assistant

Keizer, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2008

Registered at 4734 RIVER RD N, KEIZER, OR 973034536 (Tel: 5034634663)

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Updated Business Mailing Address August 06, 2008

Registered at 4734 RIVER RD N, KEIZER, OR 973034536 (Tel: 5034634663)

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Organization / Clinic Name Updated August 06, 2008

Operating as LISA M GITELSON DMD PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2008

Clinic/Center (License #D7623 in OR)

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Initial NPI Registration & Enumeration August 29, 2005

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1841283421
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 29, 2005
Last Update: August 06, 2008

Mailing Address

4734 River Rd N

Keizer, OR 973034536

Phone: 5034634663

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.