INSIGHT PERIODONTICS & IMPLANT DENTISTRY, LLC (NPI# 1386903441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386903441 |
| Entity Type | Organization |
| Organization Name | INSIGHT PERIODONTICS & IMPLANT DENTISTRY, LLC |
| Practice Address |
1601 E Mcandrews Rd Suite B Medford OR 97504-5300 |
| Practice Telephone | 5417720109 |
| Practice Fax Number | 5417702864 |
| Mailing Telephone | 5417720109 |
| Mailing Fax Number | 5417702864 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2013-10-06 |
| Authorized Official Name | DR. KAREN B RICHARDS (PERIODONTIST) |
| Authorized Official Telephone | 5417720109 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
1601 E MCANDREWS RD SUITE B |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669610440 | Karen B Richards | Dentist | 1601 E Mcandrews Rd, Suite B, Medford, OR 97504-5300 | 2009-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205840170 | Jaleh A Cooney | Dentist | 92 High St #32b, Medford, MA 02155-3850 | 2006-07-28 |
| 1497748057 | Emory E Hamilton | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2005-08-29 |
| 1518372556 | John D Ferrin Dmd LLC | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2014-06-28 |
| 1194093146 | John David Ferrin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2011-12-06 |
| 1639347958 | Tetsuji Zenas Watari | Dentist | 2930 E Barnett Rd, Medford, OR 97504 | 2008-02-20 |
| 1184808743 | Medford Periodontal Associates, LLC | Dentist | 30 Jackson Rd, Suite A-5, Medford, NJ 08055-9283 | 2007-12-19 |
| 1871775403 | Chun-han Chou | Dentist | 1762 E Mcandrews Rd, Suite B, Medford, OR 97504-5577 | 2007-12-05 |
| 1194932954 | Emory E. Hamilton Dmd | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| 1982811758 | Michael M Martin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| Find all providers in MEDFORD | ||||
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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.