DR. MATT GEBHARDT (NPI# 1043470479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043470479 |
| Entity Type | Individual |
| Full Name | DR. MATT GEBHARDT |
| Credential | D.D.S, MS, PC |
| Practice Address |
831 Alder Creek Dr Medford OR 97504-8900 |
| Mailing Address |
512 Cortez Ct Fort Collins CO 80525-2507 |
| Practice Telephone | 5417767640 |
| Practice Fax Number | 5417767640 |
| Mailing Telephone | 5417767640 |
| Mailing Fax Number | 5417767630 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D9060 | OR | Dental Providers |
| Street Address |
831 ALDER CREEK DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1780974477 | Medford Endodontics, LLC | Dentist | Zero Governors Avenue, Suite 30, Medford, MA 02155-3006 | 2011-04-14 |
| 1700197134 | Erik Brian Gonzalez | Dentist | 21 Scotch Pine Dr, Medford, NY 11763-4220 | 2010-06-30 |
| 1629300272 | Henry Lucien Harbert | Dentist | 691 Murphy Rd., Ste 204, Medford, OR 97504 | 2010-02-08 |
| 1073789582 | Marlene Imelda Oviedo-marmo | Dentist | 30 Jackson Rd Ste C2, Medford, NJ 08055-9281 | 2008-05-05 |
| 1932197019 | Gerald B. Leiber | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2005-10-12 |
| 1194722892 | Michael Curtis Hall | Dentist | 2952 Lazy Creek Dr, Medford, OR 97504-8182 | 2005-07-07 |
| 1396983169 | Cary James Cunningham | Dentist | 2924 Siskiyou Blvd, Suite 204, Medford, OR 97504-8194 | 2009-01-31 |
| 1548436009 | Carl Lewis Tinkelman | Dentist | 30 Jackson Rd, Suite C-2, Medford, NJ 08055-9283 | 2008-05-05 |
| 1528272721 | Gerald B. Leiber, D.m.d., P.C. | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2007-05-09 |
| Find all providers in MEDFORD | ||||
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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.