COUNTY OF TILLAMOOK (NPI# 1417568668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417568668 |
| Entity Type | Organization |
| Organization Name | COUNTY OF TILLAMOOK |
| Other Organization Name | TILLAMOOK COUNTY HEALTH DEPARTMENT - DENTAL CLINIC |
| Practice Address |
805 Ivy Ave Ste B Tillamook OR 97141-3758 |
| Mailing Address |
Po Box 489 Tillamook OR 97141-0489 |
| Practice Telephone | 5038423900 |
| Mailing Telephone | 5038423900 |
| Mailing Fax Number | 5038423903 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MARLENE L PUTMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5038423922 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF TILLAMOOK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 128756 | 05 |
| Other Name | Type Code |
|---|---|
| Tillamook County Health Department - Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
| 1891173407 | County of Tillamook | Clinic/Center | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-05-14 |
| 1184887523 | County of Tillamook | Clinic/Center | 276 South Hwy 101, Rockawaybeach, OR 97136 | 2008-07-07 |
| 1730341975 | County of Tillamook | Dentist | 34325 Highway 101 S, Cloverdale, OR 97112-9400 | 2008-06-30 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1528151362 | County of Tillamook | Case Management | 801 Pacific Ave, Tillamook, OR 97141-3926 | 2006-10-02 |
| Street Address |
805 IVY AVE STE B |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972600955 | Samuel Gregory Benanti | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2006-09-20 |
| 1316544935 | Dentalcare LLC | Clinic/Center | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-10-06 |
| 1972110336 | Alicia Kay Holiman | Dental Hygienist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184289845 | Bdg Dental LLC | Dentist | 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 | 2019-05-07 |
| 1851878235 | Gregory A Shook | Dentist | 2575 Center Street Ne, Salem, OR 97301-4667 | 2018-07-27 |
| 1730341975 | County of Tillamook | Dentist | 34325 Highway 101 S, Cloverdale, OR 97112-9400 | 2008-06-30 |
| 1639291008 | Todd Michael Schroeder | Dentist | 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 | 2007-04-04 |
| 1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
| 1477616720 | Jia Lin Goh | Dentist | 2403 Se Monroe St Ste F, Portland, OR 97222-7646 | 2006-12-18 |
| 1477613636 | Cynthia Rachel Varro | Dentist | 3617 S Pacific Highway, Medford, OR 97501 | 2006-12-11 |
| 1184703324 | Athena Marie Bettger | Dentist | 600 Ne 8th, Dental Clinic, Gresham, OR 97030 | 2006-11-06 |
| 1083600712 | Bc Nelson | Dentist | 470 E Washington St, Stayton, OR 97383-1837 | 2005-09-27 |
| 1740836238 | Megan Ashley Mclean | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNTY OF TILLAMOOK.
| 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.