DR. ANNE HEUBACH DENNEHY


Address: 801 E Main St, Suite 101, Medford, OR 97504-7169
Phone: 5412456648

DR. ANNE HEUBACH DENNEHY (NPI# 1427058296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427058296
Entity Type Individual
Full Name DR. ANNE HEUBACH DENNEHY
Credential DDS
Practice Address 801 E Main St
Suite 101
Medford
OR 97504-7169
Practice Telephone 5412456648
Practice Fax Number 5412456647
Mailing Telephone 5412456648
Mailing Fax Number 5412456647
Enumeration Date 2005-07-22
Last Update Date 2012-03-19
NPI Deactivation Date 03/21/2006
NPI Reactivation Date 2006-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
30017981 OH Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
P6982 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR OMAP 064746 01

Office Location

Street Address 801 E MAIN ST
SUITE 101
City MEDFORD
State OR
Zip Code 97504-7169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235686817 Rogue Valley Family Dentistry Medford LLC Dentist 801 E Main St, Medford, OR 97504-7169 2016-09-01

Providers in the same zip code

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 Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619476058 Kathryn Irene Vitiello Dentist 72 Woburn St, Medford, MA 02155-3419 2018-02-11
1962777193 Anne H Dennehy Dds Dentist 801 E Main St Ste 101, Medford, OR 97504-7169 2012-03-21
1164567624 Scott Louis Goldstein Dentist 1719 N Ocean Ave Ste C, Medford, NY 11763-2669 2007-02-21
1306945381 Pamela J Ortiz Dentist 691 Murphy Rd Suite 210, Medford, OR 97504 2006-09-22
1932199163 David M Alex Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2005-10-27
1356334254 Steven Alan Frimkess Dentist 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 2005-08-25
1598262818 James Kolby Robinson, Dmd Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2018-04-12
1154711687 David M Alex Dds PC Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2015-02-05
1396085221 Bren Dixon Dmd LLC Dentist 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 2013-03-01
1114200912 Medford Children's Dental Center, PC Dentist 520 Stokes Rd, Suite B 18, Medford, NJ 08055-2904 2011-09-28
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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