DR. RALPH KENNETH DUFFIN SR. (NPI# 1699910257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699910257 |
| Entity Type | Individual |
| Full Name | DR. RALPH KENNETH DUFFIN SR. |
| Credential | D.D.S. |
| Practice Address |
832 E Main St Ste. 10 Medford OR 97504-7153 |
| Practice Telephone | 5412827653 |
| Mailing Telephone | 5412827653 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D6252 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150693 | 05 |
| Street Address |
832 E MAIN ST STE. 10 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752414 | Orvis Enterprises, Inc | Radiologic Technologist | 832 E Main St, Suite 4, Medford, OR 97504-7153 | 2005-07-05 |
| 1528684255 | Woollard Ipsen Managment LLC | Behavioral Analyst | 832 E Main St, Medford, OR 97504-7153 | 2020-06-18 |
| 1679928543 | Summer Waters, LLC | Nutritionist | 832 E Main St, Suite 3, Medford, OR 97504-7153 | 2016-04-28 |
| 1174852602 | Christine Allison Rackley | Massage Therapist | 832 E Main St, Medford, OR 97504-7153 | 2009-12-11 |
| 1770723363 | Gordon Wayne Grafton Jr. | Massage Therapist | 832 E Main St, 5, Medford, OR 97504-7153 | 2009-02-23 |
| 1619099611 | Matthew Sheehan | Chiropractor | 832 E Main St, Suite 5, Medford, OR 97504-7153 | 2007-04-03 |
| 1518039890 | Susannah Jane Elder | Specialist | 832 E Main St, Ste. 6, Medford, OR 97504-7153 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1154975076 | Patricia Rose Suing | Dentist | 1420 E Mcandrews Rd, Medford, OR 97504-6108 | 2019-07-29 |
| 1558920298 | Grace Jotika Dmd PC | Dentist | 0 Governors Ave Ste 1, Medford, MA 02155-3035 | 2019-06-06 |
| 1699266866 | Brent Hale | Dentist | 980 N Phoenix Rd Ste 101, Medford, OR 97504-9447 | 2018-05-23 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1679060677 | James Alexander | Dentist | 42 Pitcher Ave, Medford, MA 02155-2101 | 2018-04-16 |
| 1245731934 | Betty Vasiliki Alepedis-stoukides | Dentist | 12 Badger Rd, Medford, MA 02155-2937 | 2018-02-27 |
| 1073014700 | Asnis Dental, Pllc | Dentist | 1645 Route 112 Ste A, Medford, NY 11763-3662 | 2018-02-27 |
| 1336689835 | Gary A. Rosenfeld, Dds, PC | Dentist | 2801 Route 112, Suite A, Medford, NY 11763-2568 | 2017-03-02 |
| 1801269261 | James Kolby Robinson | Dentist | 1291 E. Mcandrews Rd., Medford, OR 80238-2506 | 2015-11-06 |
| Find all providers in MEDFORD | ||||
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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.