S. ALEXANDER MARRERO DDS, PC (NPI# 1619235983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619235983 |
| Entity Type | Organization |
| Organization Name | S. ALEXANDER MARRERO DDS, PC |
| Other Organization Name | SUMMERCREST DENTAL |
| Practice Address |
16400 Sw Hart Rd Suite A Beaverton OR 97007-3457 |
| Practice Telephone | 5036497701 |
| Mailing Telephone | 5036497701 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DR. S. ALEXANDER MARRERO (DR/OWNER) |
| Authorized Official Telephone | 5036497701 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D6089 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Summercrest Dental | Doing Business As Name - Organization |
| Street Address |
16400 SW HART RD SUITE A |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194928390 | Spencer Alexander Marrero | Dentist | 16400 Sw Hart Rd, Suite A, Beaverton, OR 97007-3457 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1457851495 | Cloud Nine Dental Care LLC | Clinic/Center | 8285 Sw Nimbus Ave Ste 185, Beaverton, OR 97008-6465 | 2018-02-16 |
| 1205447786 | Sleep Health Partners LLC | Clinic/Center | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2020-08-10 |
| 1689292781 | Pacific Northwest Dental, LLC | Clinic/Center | 12725 Sw 2nd St, Beaverton, OR 97005-2708 | 2020-07-06 |
| 1003467358 | Jade Dental LLC | Clinic/Center | 12450 Sw Pioneer Ln, Beaverton, OR 97008-8377 | 2019-09-26 |
| 1326518119 | Magnolia Family Dentistry, LLC | Clinic/Center | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2018-12-05 |
| 1841724481 | Cherry Dental of Beaverton | Clinic/Center | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2017-04-19 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1720322431 | Americaredental | Clinic/Center | 4350 Sw Cedar Hills Blvd Ste B, Beaverton, OR 97005-2013 | 2012-11-19 |
| 1750656377 | Irina Moga Dds | Clinic/Center | 4970 Sw Main Ave, Suite 200, Beaverton, OR 97005-2740 | 2012-03-14 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on S. ALEXANDER MARRERO DDS, 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.