SANTIAM DENTAL GROUP, LLC (NPI# 1003898073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003898073 |
Entity Type | Organization |
Organization Name | SANTIAM DENTAL GROUP, LLC |
Other Organization Name | OSBORNE DENTISTRY REGISTRY #1356504-97 |
Practice Address |
150 Market St Lebanon OR 97355-2334 |
Practice Telephone | 5414514300 |
Practice Fax Number | 5414514799 |
Mailing Telephone | 5414514300 |
Mailing Fax Number | 5414514799 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2018-05-23 |
Authorized Official Name | MR. KEVIN E. OSBORNE (DENTIST) |
Authorized Official Telephone | 5414514300 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
D7346 | OR | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
D5083 | OR | Dental Providers |
Other Name | Type Code |
---|---|
Osborne Dentistry Registry #1356504-97 | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SANTIAM DENTAL GROUP, LLC | 150 Market St, Lebanon, OR 97355 |
Street Address |
150 MARKET ST |
City | LEBANON |
State | OR |
Zip Code | 97355-2334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285821249 | Q Leslie Osborne | Dentist | 150 Market St, Lebanon, OR 97355-2334 | 2007-10-03 |
1295922250 | Kevin E Osborne | Dentist | 150 Market St, Lebanon, OR 97355-2334 | 2007-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
Find all providers in zip 97355 |
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 |
---|---|---|---|---|
1902414436 | University Smiles LLC | Dentist | 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 | 2020-07-21 |
1962020693 | Rachel Hancock | Dentist | 367 Nh 120, Lebanon, NH 03766-1430 | 2020-07-09 |
1386295434 | Zarna Patel | Dentist | 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 | 2019-09-20 |
1932639044 | Carson James Stroyan | Dentist | 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 | 2017-06-13 |
1083142483 | Horton Scott Li | Dentist | 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 | 2017-05-30 |
1548712151 | Patel Dental Group of Upper Valley | Dentist | 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 | 2016-10-30 |
1235584913 | Temicka Terrell | Dentist | 1037 W Main St Ste E, Lebanon, TN 37087-3356 | 2016-04-29 |
1215340880 | Eriks Dental, PC | Dentist | 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 | 2014-06-11 |
1497043178 | Jacob Eldon Frazier | Dentist | 110 Wakanda Dr, Lebanon, IL 62254-1393 | 2011-07-15 |
1740592633 | John David Hirce | Dentist | 367 Route 120 Unit D, Lebanon, NH 03766-1430 | 2010-07-08 |
Find all providers in LEBANON |
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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.