CAPITOL DENTAL GROUP


Address: 3000 Market St Ne, Suite 228, Salem, OR 97301-1882
Phone: 5035877162

CAPITOL DENTAL GROUP (NPI# 1255889333) 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) 1255889333
Entity Type Organization
Organization Name CAPITOL DENTAL GROUP
Practice Address 3000 Market St Ne
Suite 228
Salem
OR 97301-1882
Practice Telephone 5035877162
Practice Fax Number 5035810043
Mailing Telephone 5035877162
Mailing Fax Number 5035810043
Enumeration Date 2016-09-16
Last Update Date 2016-09-16
Authorized Official Name STACI COMER (DENTAL PROGRAM DIRECTOR)
Authorized Official Telephone 9712057475
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
H7259 OR Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names CAPITOL DENTAL GROUP, P.C. 3000 Market St Ne Ste 228, Salem, OR 97301

Office Location

Street Address 3000 MARKET ST NE
SUITE 228
City SALEM
State OR
Zip Code 97301-1882

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942204706 Continental Medical Equipment & Supplies LLC Durable Medical Equipment & Medical Supplies 3000 Market St Ne, Ste 212, Salem, OR 97301-1897 2005-06-09
1477195261 Christine Elizabeth Kennedy Dental Hygienist 3000 Market St Ne, Salem, OR 97301-1882 2019-10-13
1033769146 Kaylee Ann Perlichek Dental Hygienist 3000 Market St Ne, Salem, OR 97301-1882 2019-09-19
1497205686 Beacon Youth & Prevention Services Residential Treatment Facility, Emotionally Disturbed Children 3000 Market St Ne, Suite 528, Salem, OR 97301-1882 2016-10-11
1912457813 Andrea Diane Stutzman Dental Hygienist 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 2016-10-04
1346799590 Adrienne Mee Nurse Practitioner 3000 Market St Ne, #530, Salem, OR 97301-1882 2016-09-29
1326498213 Julie Flager Dental Hygienist 3000 Market St Ne, Salem, OR 97301-1882 2016-06-21
1427406594 Kassandra Coleman Dental Hygienist 3000 Market St Ne, #228, Salem, OR 97301-1882 2016-05-31
1245609692 Katie Vasquez Dental Hygienist 3000 Market St Ne, Salem, OR 97301 2015-09-16
1366832578 Allyson Warren Dental Hygienist 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 2015-01-26
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Providers in the same zip code

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1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427533637 Paul K Shivers Dds Clinic/Center 2951 St Rt 45 S, Salem, OH 44460-9465 2018-10-03
1437669967 Salem Family Dental, LLC Clinic/Center 100 N Harrison St, Salem, IN 47167-1426 2017-10-11
1063936458 Hallmark Dental Salem LLC Clinic/Center 260 Essex St, Salem, MA 01970-3434 2017-07-27
1497276729 Family & Restorative Dentistry Clinic/Center 7137 236th Ave Ste 108, Salem, WI 53168-8975 2017-06-27
1457759425 Hulse Dentisry LLC Clinic/Center 601 N State Road 198, Salem, UT 84653-4504 2014-12-08
1720338668 Healthy Smiles Family Dental Clinic/Center 2601 25th St Se Ste 400, Salem, OR 97302-1284 2012-09-18
1275894867 Ous Oregon Institute of Technology Clinic/Center 4000 Lancaster Drive Ne, Dental Hygiene 8/ 101, Salem, OR 97305 2012-05-31
1366700791 Neighborhood Pediatric Dentistry, LLC Clinic/Center 1109 Liberty Cir S, Salem, OR 97306-2435 2012-04-23
1679839120 Stiles Family Dentistry, P.C. Clinic/Center 32 Stiles Rd Ste 205, Salem, NH 03079-2893 2012-04-10
1477666535 Dental Health Group, Terrence P. Flinn, D.d.s., Ted A Schuster, D.d.s. Clinic/Center 1410 E State St, Salem, OH 44460-2329 2006-08-15
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Competitor

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City SALEM
Zip Code 97301

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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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