MANAGED DENTAL CARE OF OREGON, INC. (NPI# 1639347198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639347198 |
| Entity Type | Organization |
| Organization Name | MANAGED DENTAL CARE OF OREGON, INC. |
| Practice Address |
3000 Market St Ne Suite 222 Salem OR 97301-1882 |
| Practice Telephone | 5035855205 |
| Practice Fax Number | 5035810043 |
| Mailing Telephone | 5035855205 |
| Mailing Fax Number | 5035810043 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Authorized Official Name | MR. WILLIAM HART LAWS (PRESIDENT) |
| Authorized Official Telephone | 5035855205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 122544 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MANAGED DENTAL CARE OF OREGON, INC. | 3000 Market St Ne Ste 228, Salem, OR 97301 |
| Street Address |
3000 MARKET ST NE SUITE 222 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204706 | Continental Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 3000 Market St Ne, Ste 212, Salem, OR 97301-1897 | 2005-06-09 |
| 1477195261 | Christine Elizabeth Kennedy | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2019-10-13 |
| 1033769146 | Kaylee Ann Perlichek | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2019-09-19 |
| 1497205686 | Beacon Youth & Prevention Services | Residential Treatment Facility, Emotionally Disturbed Children | 3000 Market St Ne, Suite 528, Salem, OR 97301-1882 | 2016-10-11 |
| 1912457813 | Andrea Diane Stutzman | Dental Hygienist | 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 | 2016-10-04 |
| 1346799590 | Adrienne Mee | Nurse Practitioner | 3000 Market St Ne, #530, Salem, OR 97301-1882 | 2016-09-29 |
| 1255889333 | Capitol Dental Group | Clinic/Center | 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 | 2016-09-16 |
| 1326498213 | Julie Flager | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2016-06-21 |
| 1427406594 | Kassandra Coleman | Dental Hygienist | 3000 Market St Ne, #228, Salem, OR 97301-1882 | 2016-05-31 |
| 1245609692 | Katie Vasquez | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533637 | Paul K Shivers Dds | Clinic/Center | 2951 St Rt 45 S, Salem, OH 44460-9465 | 2018-10-03 |
| 1437669967 | Salem Family Dental, LLC | Clinic/Center | 100 N Harrison St, Salem, IN 47167-1426 | 2017-10-11 |
| 1063936458 | Hallmark Dental Salem LLC | Clinic/Center | 260 Essex St, Salem, MA 01970-3434 | 2017-07-27 |
| 1497276729 | Family & Restorative Dentistry | Clinic/Center | 7137 236th Ave Ste 108, Salem, WI 53168-8975 | 2017-06-27 |
| 1457759425 | Hulse Dentisry LLC | Clinic/Center | 601 N State Road 198, Salem, UT 84653-4504 | 2014-12-08 |
| 1720338668 | Healthy Smiles Family Dental | Clinic/Center | 2601 25th St Se Ste 400, Salem, OR 97302-1284 | 2012-09-18 |
| 1275894867 | Ous Oregon Institute of Technology | Clinic/Center | 4000 Lancaster Drive Ne, Dental Hygiene 8/ 101, Salem, OR 97305 | 2012-05-31 |
| 1366700791 | Neighborhood Pediatric Dentistry, LLC | Clinic/Center | 1109 Liberty Cir S, Salem, OR 97306-2435 | 2012-04-23 |
| 1679839120 | Stiles Family Dentistry, P.C. | Clinic/Center | 32 Stiles Rd Ste 205, Salem, NH 03079-2893 | 2012-04-10 |
| 1477666535 | Dental Health Group, Terrence P. Flinn, D.d.s., Ted A Schuster, D.d.s. | Clinic/Center | 1410 E State St, Salem, OH 44460-2329 | 2006-08-15 |
| Find all providers in SALEM | ||||
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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.