MATT W ANDERSON DDS PC (NPI# 1114493582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114493582 |
| Entity Type | Organization |
| Organization Name | MATT W ANDERSON DDS PC |
| Practice Address |
2215 Willamette St Ste A Eugene OR 97405-3341 |
| Practice Telephone | 5413454076 |
| Mailing Telephone | 5413454076 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | DR. MATT W ANDERSON (OWNER) |
| Authorized Official Telephone | 5413454076 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
2215 WILLAMETTE ST STE A |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297279 | Dennis M Dunne Dds PC | Dentist | 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 | 2020-02-20 |
| 1366738858 | Eugene Kids' Dentist, LLC | Dentist | 4122 Quest Dr., Eugene, OR 97402 | 2011-06-22 |
| 1396067955 | James Edward Barta | Dentist | 2215 Willamette St, Suite A, Eugene, OR 97405-2847 | 2010-02-24 |
| 1184855967 | Timothy Richardson | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2009-07-28 |
| 1427271923 | Katrina J. Drew | Dentist | 748 Goodpasture Island Road, Eugene, OR 97401 | 2007-04-11 |
| 1801902101 | Dentistry for Children Nw LLC | Dentist | 2215 Willamette St A, Eugene, OR 97405 | 2006-08-21 |
| 1144255043 | Dennis M Dunne | Dentist | 1600 Executive Pkwy, Suite 350, Eugene, OR 97401-2138 | 2006-07-11 |
| 1013567080 | Katrina J Drew, Dds, PC | Dentist | 748 Goodpasture Island Road, Eugene, OR 97401 | 2019-09-12 |
| 1366836835 | Tyler Brent Whiting | Dentist | 4122 Quest Dr, Eugene, OR 97402 | 2015-03-23 |
| 1134345606 | James J. Ford Dds | Dentist | 1045 Willagillespie Rd, Suite 100, Eugene, OR 97401-6798 | 2007-04-17 |
| 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.