PEDIATRIC DENTISTRY OF SALEM LLC


Address: 2020 Commercial St Se, Salem, OR 97302-5208
Phone: 5033647545

PEDIATRIC DENTISTRY OF SALEM LLC (NPI# 1184831083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184831083
Entity Type Organization
Organization Name PEDIATRIC DENTISTRY OF SALEM LLC
Practice Address 2020 Commercial St Se
Salem
OR 97302-5208
Practice Telephone 5033647545
Practice Fax Number 5035407911
Mailing Telephone 5033647545
Mailing Fax Number 5035407911
Enumeration Date 2007-05-17
Last Update Date 2020-08-22
Authorized Official Name DR. WESTON WILLARD HERINGER III (PARTNER)
Authorized Official Telephone 5033647545
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
4631 OR Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
7703 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR TAXONOMY CODE 1223PO221X 01
OR 233143 05
OR 087163 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PEDIATRIC DENTISTRY OF SALEM LLC 2020 Commercial St Se, Salem, OR 97301

Office Location

Street Address 2020 COMMERCIAL ST SE
City SALEM
State OR
Zip Code 97302-5208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598821944 Weston Willard Heringer Jr. Dentist 2020 Commercial St Se, Salem, OR 97302 2006-12-29
1700933959 Weston W Heringer IIi Dentist 2020 Commercial St Se, Salem, OR 97302-5208 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740670009 Ian Bell Dentist 140 Ramsgate Sq S Ste 120, Salem, OR 97302-5873 2015-01-26
1942551791 Roger C. Dow, Dmd PC Dentist 140 Ramsgate Sq Se, Suite 110, Salem, OR 97302 2012-09-19
1598821944 Weston Willard Heringer Jr. Dentist 2020 Commercial St Se, Salem, OR 97302 2006-12-29
1003917410 Jeffrey C Phillips Dentist 1109 Liberty Circle S, Salem, OR 97306 2006-09-26
1922112333 Roger Charles Dow Dentist 140 Ramsgate Sq S, Suite 110, Salem, OR 97302-5871 2006-08-19
1457376782 Sean A Cooper Dentist 1105 12th St Se, Salem, OR 97302-2810 2006-07-13
1235116419 J Chris Martin Dentist 1625 Commercial St Se, Salem, OR 97302-4311 2005-12-28
1376530535 Stuart S Gould Dentist 116 Highland Ave, Salem, MA 01970-2723 2005-10-03
1043869191 Acorn Dentistry for Kids - West Salem, LLC Dentist 1049 Edgewater St Nw, Salem, OR 97304-4046 2019-09-10
1598320111 Salem Family Dental and Orthodontics PC Dentist 10 Federal St Ste 16, Salem, MA 01970-3875 2019-05-08
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97302

Improve Information

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Dataset Information

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.

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