WOODBURN COSMETIC & FAMILY DENTISTRY P.C. (NPI# 1801110994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801110994 |
| Entity Type | Organization |
| Organization Name | WOODBURN COSMETIC & FAMILY DENTISTRY P.C. |
| Practice Address |
1018 N. Boones Ferry Rd. Woodburn OR 97071 |
| Practice Telephone | 5039811841 |
| Practice Fax Number | 5039817334 |
| Mailing Telephone | 5039811841 |
| Mailing Fax Number | 5039817334 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Authorized Official Name | STEVEN BLAKLEY (OWNER) |
| Authorized Official Telephone | 5039811841 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D6259 | OR | Dental Providers |
| Street Address |
1018 N. BOONES FERRY RD. |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| 1376686659 | Joseph Paul Whitson | Family Medicine | 1475 Mt Hood Ave, Silverton Hospital Immediate Care, Woodburn, OR 97071 | 2007-02-15 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1386968568 | Woodburn Community Dental | Dentist | 790 Lawson Ave, Woodburn, OR 97071-2988 | 2010-03-17 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1659533958 | Deanne Lynn Baptiste | Dentist | 2630 N Pacific Hwy, Woodburn, OR 97071-9165 | 2008-06-27 |
| 1003801564 | Nicholas P Caba | Dentist | 1018 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2005-09-12 |
| 1548723455 | Gfd Wb, LLC | Dentist | 4321 College St, Woodburn, IN 46797-9005 | 2019-04-08 |
| 1255783783 | Huong Truong | Dentist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-07-08 |
| 1982063418 | Daniel Jacob Warnock | Dentist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-02-11 |
| 1528449402 | Tiffany Brown | Dentist | 1018 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 2015-06-16 |
| 1588097877 | Christopher Harrison Hill | Dentist | 1230 George St, Woodburn, OR 97071-5203 | 2013-08-09 |
| 1265570873 | Justin Todd Walter | Dentist | 1230 George St, Woodburn, OR 97071-5203 | 2007-02-03 |
| Find all providers in WOODBURN | ||||
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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.