SMILES DENTAL GROUP, PC (NPI# 1295149334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295149334 |
| Entity Type | Organization |
| Organization Name | SMILES DENTAL GROUP, PC |
| Practice Address |
1018 N Boones Ferry Rd Woodburn OR 97071-9602 |
| Mailing Address |
820 Ocean Beach Hwy Ste 110 Longview WA 98632-4080 |
| Practice Telephone | 5039811841 |
| Practice Fax Number | 5039817334 |
| Mailing Telephone | 5039811841 |
| Mailing Fax Number | 5039817334 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MR. JACOB A LEWIS (CFO) |
| Authorized Official Telephone | 2069196578 |
| Authorized Official Credential | CPA, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D8230 | OR | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114387982 | Smiles Dental Group, PC | Dentist | 9138 Arlon St, Suite B1, Anchorage, AK 99507-3876 | 2016-03-07 |
| 1285093385 | Smiles Dental Group, PC | Dentist | 820 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4080 | 2016-02-17 |
| 1427417526 | Smiles Dental Group, PC | Dentist | 2245 Mission St Se, Salem, OR 97302-1291 | 2016-02-17 |
| Street Address |
1018 N BOONES FERRY RD |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801564 | Nicholas P Caba | Dentist | 1018 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2005-09-12 |
| 1528449402 | Tiffany Brown | Dentist | 1018 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2015-06-16 |
| 1760569206 | Nicholas P Caba Dmd LLC | Dentist | 1018 N Boones Ferry Rd, Woodburn, OR 97071-0212 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1134777691 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 16016 Boones Ferry Rd Ste 101, Lake Oswego, OR 97035-4353 | 2019-08-28 |
| 1447757745 | Rss Dain Paxton LLC | Durable Medical Equipment & Medical Supplies | 9735 Sw Shady Ln Ste 201, Tigard, OR 97223-5481 | 2018-04-12 |
| 1003318965 | Norco Inc | Durable Medical Equipment & Medical Supplies | 2770 Sw Cedar Hills Blvd, Beaverton, OR 97005-1355 | 2018-03-06 |
| 1467967372 | Samuel J Higdon Dds PC | Durable Medical Equipment & Medical Supplies | 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 | 2017-12-14 |
| 1508396326 | Orthopedic Toe Guard | Durable Medical Equipment & Medical Supplies | 611 Ocean Ave., Po Box100, Manzanita, OR 97130-0100 | 2017-06-14 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1982136073 | Jc Medical LLC | Durable Medical Equipment & Medical Supplies | 3553 Vista Heights Ln, Eugene, OR 97405-1260 | 2017-03-29 |
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
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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.