OPEN DOOR DENTAL GROUP PC (NPI# 1609489137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609489137 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR DENTAL GROUP PC |
| Practice Address |
1710 E Pine St Ste A Central Point OR 97502-2811 |
| Practice Telephone | 5416651112 |
| Mailing Telephone | 5416651112 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | MRS. HEATHER PALLO GOMEZ (FINANCIAL COORDINATOR) |
| Authorized Official Telephone | 5418080833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPEN DOOR DENTAL GROUP PC | 1710 E Pine St Ste A, Central Point, OR 97502 |
| Street Address |
1710 E PINE ST STE A |
| City | CENTRAL POINT |
| State | OR |
| Zip Code | 97502-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459734 | Rebuilding Together Rogue Valley | Home Health | 421 Stone Pointe Drive, Central Point, OR 97502 | 2016-11-11 |
| 1801262431 | Kathleen Marie Vandevender | Behavioral Analyst | 153 Wind Song Drive, Central Point, OR 97502 | 2015-08-18 |
| 1356735112 | Nikole Mcewen | Behavioral Analyst | 2030 Taylor Rd, Central Point, OR 97502 | 2015-03-19 |
| 1619368636 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 200 W Pine St, Central Point, OR 97502 | 2015-02-12 |
| 1124429360 | Sarah Jean North | Massage Therapist | 2463 Saint James Way, Central Point, OR 97502 | 2014-09-08 |
| 1972928034 | Jennifer Joe-anne Marks | Registered Nurse | 312 Oak St. Ste #205, Central Point, OR 97502 | 2014-02-26 |
| 1578991527 | Lawrence Gerald Whittington | Behavioral Analyst | 6340 Honey Tree Ln., Central Point, OR 97502 | 2013-10-29 |
| 1093141582 | Samuel Joseph Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1598191074 | Kathie Ellen Moss | Behavioral Analyst | 5315 Teresa Way, Central Point, OR 97502 | 2013-09-17 |
| 1831525336 | Becky Kay Lunsford | Behavioral Analyst | 640 S. 2nd Street, Family Solutions, Central Point, OR 97502 | 2013-09-17 |
| Find all providers in zip 97502 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275901712 | Crisdental Central Point | Dentist | 826 S Front St, Central Point, OR 97502-2726 | 2015-09-14 |
| 1053506691 | Eugene F Bowlin Jr. | Dentist | 25 N 4th St, Central Point, OR 97502-2032 | 2007-09-06 |
| 1407984495 | Ross E Sanford | Dentist | 1333 Plaza Blvd Ste A, Central Point, OR 97502-2671 | 2007-03-01 |
| 1548330020 | Judd Robert Larson | Dentist | 57 N 2nd St, Central Point, OR 97502-2017 | 2006-11-09 |
| 1154319267 | Kathy A Sprick | Dentist | 21 S Front St, Central Point, OR 97502-2242 | 2005-10-12 |
| 1811466451 | Richard Calvo Dds LLC | Dentist | 348 Oak St, Central Point, OR 97502-2241 | 2018-11-13 |
| 1497297923 | Table Rock Family Dentistry, LLC | Dentist | 21 S Front St, Central Point, OR 97502-2242 | 2016-11-15 |
| 1750661062 | Rachel B Schultz | Dentist | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2011-08-18 |
| 1720135791 | Curtis Lee Tyerman | Dentist | 348 Oak St, Central Point, OR 97502-2241 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| 1508484205 | Dental Professionals of Oregon, P.C. | Dentist | 12850 Sw Canyon Rd Ste A, Beaverton, OR 97005-2166 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL POINT |
| Zip Code | 97502 |
Please comment or provide details below to improve the information on OPEN DOOR DENTAL GROUP PC.
| 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.