SHOREVIEW DENTAL, LLS (NPI# 1003196536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003196536 |
| Entity Type | Organization |
| Organization Name | SHOREVIEW DENTAL, LLS |
| Practice Address |
5885 Shoreview Ln N Keizer OR 97303-3866 |
| Practice Telephone | 5033935133 |
| Practice Fax Number | 5033932439 |
| Mailing Telephone | 5033935133 |
| Mailing Fax Number | 5033932439 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | MR. STEVEN RALPH DUFFIN (OWNER/DENTIST) |
| Authorized Official Telephone | 5033935133 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7025 | OR | Dental Providers |
| Street Address |
5885 SHOREVIEW LN N |
| City | KEIZER |
| State | OR |
| Zip Code | 97303-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093268807 | Jennifer Rosales | Dentist | 5885 Shoreview Ln N, Keizer, OR 97303-3866 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455167 | Jori Beth Grady | Dentist | 6395 Keizer Station Blvd Ne Ste 101, Keizer, OR 97303-2305 | 2018-11-04 |
| 1720497316 | Theron Nebeker | Dentist | 1057 Taurus Loop Ne, Keizer, OR 97303-3380 | 2014-08-07 |
| 1780819284 | Aspen Dental of Oregon PC | Dentist | 2535 Jorie Ln Ne, 104, Keizer, OR 97303-4136 | 2009-05-27 |
| 1770737702 | Trenton K Lebaron | Dentist | 3975 River Rd N Ste 5, Keizer, OR 97303-4811 | 2008-11-04 |
| 1740482421 | Wallace H Dick | Dentist | 4705 River Rd N, Keizer, OR 97303-4535 | 2007-06-04 |
| 1629103437 | Marc T. Iwahiro | Dentist | 4600 River Rd N, Keizer, OR 97303-4648 | 2007-02-22 |
| 1184712598 | Thalia Y Ohara | Dentist | 4185 River Rd N, Keizer, OR 97303-5503 | 2006-10-11 |
| 1356449599 | Ruth A Abraham | Dentist | 3857 River Rd N, Keizer, OR 97303-4803 | 2006-09-20 |
| 1285636928 | Roy Alan George | Dentist | 5830 Shoreview Ln N, Suite 1, Keizer, OR 97303-3866 | 2005-08-12 |
| 1518968130 | Megan E Peck | Dentist | 5830 Shoreview Ln. N., Keizer, OR 97303 | 2005-08-04 |
| Find all providers in KEIZER | ||||
Please comment or provide details below to improve the information on SHOREVIEW DENTAL, LLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.