VALLEY DENTURE CARE LLC (NPI# 1770083172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770083172 |
Entity Type | Organization |
Organization Name | VALLEY DENTURE CARE LLC |
Practice Address |
535 N 5th St Jacksonville OR 97530-9704 |
Mailing Address |
Po Box 505 Jacksonville OR 97530-0505 |
Practice Telephone | 5418999516 |
Practice Fax Number | 5418999516 |
Mailing Telephone | 5418999516 |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-02-13 |
Authorized Official Name | ERIN THOMAS (OWNER) |
Authorized Official Telephone | 5418999516 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | VALLEY DENTURE CARE LLC | 535 N 5th St, Jacksonville, OR 97530 |
Street Address |
535 N 5TH ST |
City | JACKSONVILLE |
State | OR |
Zip Code | 97530-9704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083112957 | Cody Moss | Chiropractor | 660 G St Ste A, Jacksonville, OR 97530 | 2018-01-25 |
1659819621 | Denise Alane Davis | Nurse Practitioner | 115 Ponderosa Way, Jacksonville, OR 97530 | 2017-02-09 |
1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
1023444502 | Rebecca Lynne Giudili | Behavioral Analyst | 1425 Humbug Ck Rd, Jacksonville, OR 97530 | 2013-09-17 |
1487922381 | Ashley Rose Merrill | Midwife | 235 E. Main St., Jacksonville, OR 97530 | 2011-12-06 |
1518135334 | Lynn Ellen Reordan | Physical Therapist | 635 N. 5th St., Jacksonville, OR 97530 | 2008-02-14 |
1821289984 | Nathan M Tanner | Dentist | 725 N 5th St Ste 101, Jacksonville, OR 97530 | 2007-08-05 |
1467667139 | Diana K Helvey | Denturist | 590 Blackstone Alley, Jacksonville, OR 97530 | 2007-05-14 |
1902027295 | Michelle Dawn Bienick | Naprapath | 1881 Humbug Creek Rd, Applegate, OR 97530 | 2007-05-02 |
1821121526 | Anne Marie Vincent | Chiropractor | 7370 Hwy 238, Jacksonville, OR 97530 | 2007-03-13 |
Find all providers in zip 97530 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467667139 | Diana K Helvey | Denturist | 590 Blackstone Alley, Jacksonville, OR 97530 | 2007-05-14 |
1679912844 | Pieter Frederick Oosthuizen | Denturist | 725 N 5th St, Ste 101, Jacksonville, OR 97530-9873 | 2013-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576341 | Madeline M Cain | Denturist | 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 | 2020-04-02 |
1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
1407364177 | Joseph Rider | Denturist | 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 | 2018-01-16 |
1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
1407243736 | Kismet Winslow | Denturist | 553 Chetco Ln, Brookings, OR 97415-8159 | 2015-04-24 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 97530 |
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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.