CARLY M. PETERSCHMIDT, DMD, LLC (NPI# 1003339466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003339466 |
| Entity Type | Organization |
| Organization Name | CARLY M. PETERSCHMIDT, DMD, LLC |
| Practice Address |
622 E 22nd Avenue Suite A Eugene OR 97408 |
| Mailing Address |
622 E 22nd Ave Ste A Eugene OR 97405-2989 |
| Practice Telephone | 5416872343 |
| Practice Fax Number | 5415059258 |
| Mailing Telephone | 5416872343 |
| Mailing Fax Number | 5415059258 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | DR. CARLY PETERSCHMIDT (DENTIST) |
| Authorized Official Telephone | 5419416558 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CARLY M. PETERSCHMIDT, DMD, LLC | 622 E 22nd Ave, Eugene, OR 97405 |
| Street Address |
622 E 22ND AVENUE SUITE A |
| City | EUGENE |
| State | OR |
| Zip Code | 97408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| 1235515891 | Broderick Leslie Cramer | Massage Therapist | 32501 Coburg Bottom Loop, Eugene, OR 97408 | 2015-08-06 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917979 | Elford Mckim LLC | Clinic/Center | 1045 Willagillespie Rd Ste 125, Eugene, OR 97401-6799 | 2018-03-25 |
| 1003228511 | Robert G. Whicker, Dds, PC | Clinic/Center | 4725 Village Plaza Loop Ste 101, Eugene, OR 97401-6677 | 2014-06-02 |
| 1043858780 | Valley River Family Dental PC | Clinic/Center | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2019-12-12 |
| 1821477696 | White Bird Mobile Dental | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-26 |
| 1457764920 | Lane Community College | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2014-06-03 |
| 1669895132 | Butler Family Dental, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2014-02-03 |
| 1467893347 | George A. Mccully Dmd PC | Clinic/Center | 622 E 22nd Ave, Suite B, Eugene, OR 97405-2989 | 2013-07-09 |
| 1356698260 | Thomas E. Houston, Dmd, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2012-08-09 |
| 1174889026 | Amy R. Mcdaniel, Dmd, PC | Clinic/Center | 2233 Willamette St, Suite A, Eugene, OR 97405-2890 | 2012-04-04 |
| 1295001998 | William B Sproul, D.m.d., P.C. | Clinic/Center | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-03-27 |
| Find all providers in EUGENE | ||||
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| 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.