CENTER STREET DENTAL PC (NPI# 1275610495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275610495 |
| Entity Type | Organization |
| Organization Name | CENTER STREET DENTAL PC |
| Other Organization Name | JOHNATHAN TODD COOK DDS |
| Practice Address |
419 Center Street Oregon City OR 97045-2211 |
| Practice Telephone | 5036568287 |
| Practice Fax Number | 5036568375 |
| Mailing Telephone | 5036568287 |
| Mailing Fax Number | 5036568375 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JONATHAN TODD COOK (OWNER DENTIST) |
| Authorized Official Telephone | 5036568287 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7453 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Johnathan Todd Cook DDS | Doing Business As Name - Organization |
| Street Address |
419 CENTER STREET |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| 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 |
|---|---|---|---|---|
| 1699045872 | Neighborhood Health Center | Dentist | 19029 S Beavercreek Rd, Oregon City, OR 97045 | 2012-01-05 |
| 1255666764 | Rachel White | Dentist | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2009-10-16 |
| 1568688265 | Bruce L Nguyen | Dentist | 19172 Molalla Ave, Oregon City, OR 97045-8975 | 2007-04-18 |
| 1215153911 | Sean S Kim | Dentist | 19029 Beavercreek Rd, Oregon City, OR 97045-9537 | 2007-04-18 |
| 1598885246 | William Whittemore | Dentist | 1677 Molalla Ave, Oregon City, OR 97045-4007 | 2007-03-29 |
| 1053437731 | Peter N Nguyen | Dentist | 1436 Molalla Ave, Oregon City, OR 97045-4004 | 2007-03-22 |
| 1669515995 | Kendall S. Evans | Dentist | 1174 Molalla Ave, Oregon City, OR 97045-3770 | 2007-02-15 |
| 1720134000 | Raini Spitze | Dentist | 18221 S Redland Rd, Oregon City, OR 97045-8823 | 2007-01-26 |
| 1043376551 | Alexander C.y. Lin | Dentist | 1515 Seventh St Suite B, Oregon City, OR 97045 | 2006-12-29 |
| 1639278393 | Brett Larkin Johnson | Dentist | 601 Monroe Street, Oregon City, OR 97045 | 2006-09-21 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on CENTER STREET DENTAL PC.
| 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.