MILLARD DENTAL LLC (NPI# 1558754820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558754820 |
| Entity Type | Organization |
| Organization Name | MILLARD DENTAL LLC |
| Practice Address |
2650 Washburn Way Ste 200 Klamath Falls OR 97603-4596 |
| Practice Telephone | 5418841333 |
| Practice Fax Number | 5418822524 |
| Mailing Telephone | 5418841333 |
| Mailing Fax Number | 5418822524 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | DR. ROBERT MILLARD (OWNER) |
| Authorized Official Telephone | 5418841333 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D9582 | OR | Ambulatory Health Care Facilities |
| Street Address |
2650 WASHBURN WAY STE 200 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811020555 | Gregory D. Enos | Acupuncturist | 2650 Washburn Way, Suite #180, Klamath Falls, OR 97603-4596 | 2007-03-13 |
| 1831649003 | Washburn Smiles, Inc | Dentist | 2650 Washburn Way, Suite 210, Klamath Falls, OR 97603-4596 | 2016-10-11 |
| 1457645954 | Armando Scott Fregoso | Specialist | 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603 | 2011-06-02 |
| 1093947665 | Rex Homer Ervin | Dentist | 2650 Washburn Way, Unit 210, Klamath Falls, OR 97603-4596 | 2009-08-17 |
| 1003086927 | Barbara G Enos | Nurse Practitioner | 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603-4596 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669853487 | Klamath Smiles, LLC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-17 |
| 1780741884 | Jeffrey A. Englestadter, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| 1427574136 | Shasta Family Dental | Clinic/Center | 2504 Shasta Way, Klamath Falls, OR 97601-4356 | 2017-08-15 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1013399641 | Mark Davis, Dds PC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-19 |
| 1932266020 | Michael C. Thomas, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on MILLARD DENTAL LLC.
| 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.