MICHAEL J ALLEN DDS (NPI# 1477725331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477725331 |
| Entity Type | Organization |
| Organization Name | MICHAEL J ALLEN DDS |
| Practice Address |
1813 W Harvard Ave Ste #240 Roseburg OR 97470-2752 |
| Practice Telephone | 5414409175 |
| Practice Fax Number | 5416731246 |
| Mailing Telephone | 5414409175 |
| Mailing Fax Number | 5416731246 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. ALLEN J ALLEN (OWNER) |
| Authorized Official Telephone | 5414409175 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D8752 | OR | Dental Providers |
| Street Address |
1813 W HARVARD AVE STE #240 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677146 | Laurence M. Sharp | Family Medicine | 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471-2752 | 2005-08-31 |
| 1851954853 | Allergy & Asthma Center of Southern Oregon PC | Allergy & Immunology | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 | 2019-04-16 |
| 1801314372 | Jacob Dean Thompson | Physician Assistant | 1813 W Harvard Ave, #310, Roseburg, OR 97471 | 2017-09-06 |
| 1851828511 | Kimberlly Joy Stevens | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-8708 | 2017-05-12 |
| 1871030338 | Ashley D Heuer | Physician Assistant | 1813 W Harvard Ave, Suite 310, Roseburg, OR 97471-2752 | 2017-01-23 |
| 1619410982 | Tabitha Waller | Nurse Practitioner | 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-2752 | 2016-11-18 |
| 1780065870 | Umpqua Valley Internists PC | Internal Medicine | 1813 W Harvard Ave, Ste 423, Roseburg, OR 97471-2752 | 2015-06-15 |
| 1679965149 | Joshua J Middlekauff | Nurse Practitioner | 1813 W Harvard Ave, Suite 201, Roseburg, OR 97471-2752 | 2015-02-20 |
| 1144631326 | Community Health Alliance | Community/Behavioral Health | 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471-2752 | 2014-05-09 |
| 1669742870 | Kirstin Allene Carhart | Registered Nurse | 1813 W Harvard Ave, Suite 436, Roseburg, OR 97471-2752 | 2012-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657594 | Harvard Endodontics, LLC | Dentist | 1813 W. Harvard Ave, Suite 240, Roseburg, OR 97471-8708 | 2013-10-01 |
| 1689851636 | Michael Jay Allen | Dentist | 1813 W Harvard Avenue, Suite 240, Roseburg, OR 97470 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997803 | Valley Endodontics | Dentist | 2350 Nw Century Dr Ste 200, Corvallis, OR 97330-3495 | 2017-12-12 |
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
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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.