NEIGHBORHOOD PEDIATRIC DENTISTRY, LLC (NPI# 1366700791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366700791 |
| Entity Type | Organization |
| Organization Name | NEIGHBORHOOD PEDIATRIC DENTISTRY, LLC |
| Practice Address |
1109 Liberty Cir S Salem OR 97306-2435 |
| Practice Telephone | 5033638466 |
| Practice Fax Number | 5034852986 |
| Mailing Telephone | 5033638466 |
| Mailing Fax Number | 5034852986 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | JEFFREY C PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 5033638466 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D6697 | OR | Ambulatory Health Care Facilities |
| Street Address |
1109 LIBERTY CIR S |
| City | SALEM |
| State | OR |
| Zip Code | 97306-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154768562 | Neighborhood Dentistry | Clinic/Center | 1109 Liberty Cir S, Salem, OR 97306-2435 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 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 |
| 1912516428 | Yerkey and Madjarac Dds Inc. | Clinic/Center | 2940 State Route 45 S, Salem, OH 44460-9465 | 2020-07-30 |
| Find all providers in SALEM | ||||
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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.