SOUTH LANE CHILDREN'S DENTAL CLINIC (NPI# 1497190821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497190821 |
| Entity Type | Organization |
| Organization Name | SOUTH LANE CHILDREN'S DENTAL CLINIC |
| Practice Address |
1275 S River Rd Cottage Grove OR 97424-3906 |
| Practice Telephone | 5415207137 |
| Mailing Telephone | 5415207137 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MRS. COURTNEY JANE LONG (DENTAL CARE COORDINATOR) |
| Authorized Official Telephone | 5415207137 |
| Authorized Official Credential | EFDA |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH LANE SCHOOL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | ========= | OR | Agencies |
| Street Address |
1275 S RIVER RD |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801350194 | Jessica Marie Ostrander | Dental Hygienist | 1275 S River Rd, Cottage Grove, OR 97424-3906 | 2019-01-30 |
| 1790259679 | Tia Rae Morehouse | Dental Hygienist | 1275 S River Rd, Cottage Grove, OR 97424-3906 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483849 | Truenorth Star Ministries | Voluntary or Charitable | 2545 W Harvard Ave, Roseburg, OR 97471-2582 | 2020-10-01 |
| 1841818424 | D.a.w.n.s House | Voluntary or Charitable | 20813 Liberty Ln, Bend, OR 97701-8596 | 2020-07-09 |
| 1558859504 | Rochelle Diane Hamilton | Voluntary or Charitable | 2802 Adams Ave, La Grande, OR 97850-5267 | 2018-04-25 |
| 1104329523 | Corvallis Neighborhood Housing Services | Voluntary or Charitable | 257 Sw Madison Ave Ste 117, Corvallis, OR 97333-4757 | 2018-03-12 |
| 1912432279 | Bit By Bit | Voluntary or Charitable | 38578 Highway 99w, Corvallis, OR 97330-9320 | 2017-04-25 |
| 1215471909 | Northwest Mothers Milk Bank | Voluntary or Charitable | 15875 Sw 74th Ave Ste 100, Tigard, OR 97224-7934 | 2016-12-14 |
| 1568906402 | Community Helping Addicts Negotiate Change Effectively | Voluntary or Charitable | 238 3rd Ave Se, Albany, OR 97321-2857 | 2016-12-12 |
| 1104375468 | Family Tree Relief Nursery | Voluntary or Charitable | 1005 Nw Springhill Dr, Albany, OR 97321-1748 | 2016-09-28 |
| 1538516265 | Kemple Memorial Children's Dental Clinic | Voluntary or Charitable | 1029 Nw 14th St Ste 101, Bend, OR 97703-2189 | 2016-05-23 |
| 1487070181 | United Community Action Network | Voluntary or Charitable | 280 Ne Kenneth Ford Dr, Roseburg, OR 97470-1034 | 2014-03-05 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on SOUTH LANE CHILDREN'S DENTAL CLINIC.
| 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.