DR. BRUCE WALLACE MOLD (NPI# 1891862504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891862504 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WALLACE MOLD |
| Credential | DMD |
| Practice Address |
1680 Chambers St Suite 105 Eugene OR 97402 |
| Mailing Address |
1653 Bailey Hill Rd Eugene OR 97402 |
| Practice Telephone | 5413414553 |
| Practice Fax Number | 5414857336 |
| Mailing Telephone | 5414853578 |
| Mailing Fax Number | 5414853578 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D4755 | OR | Dental Providers |
| Street Address |
1680 CHAMBERS ST SUITE 105 |
| City | EUGENE |
| State | OR |
| Zip Code | 97402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770561631 | Andrew Chester Schink | Podiatrist | 1680 Chambers St, Suite 201, Eugene, OR 97402-3655 | 2006-01-02 |
| 1508357740 | Jennifer Poynter | Registered Nurse | 1680 Chambers St, Eugene, OR 97402 | 2018-05-23 |
| 1538678446 | Angela Wagner | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-22 |
| 1639688674 | Amy Trezona | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-21 |
| 1689183634 | Melina Granofsky | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-21 |
| 1780128082 | Wendy Osuna | Registered Nurse | 1680 Chambers St, Eugene, OR 97402-3655 | 2016-12-06 |
| 1568834273 | Dawn Elaine Lowe | Dental Hygienist | 1680 Chambers St, Suite 204, Eugene, OR 97402-3655 | 2015-10-21 |
| 1578994851 | Eugene Foot and Ankle Center, LLC | Exclusive Provider Organization | 1680 Chambers St, Ste 201, Eugene, OR 97402-3655 | 2013-12-11 |
| 1164772554 | Wenlang Zhang | Dentist | 1680 Chambers St, Suite 204, Eugene, OR 97402-3655 | 2012-09-13 |
| 1497017354 | Mark Robert Mueller | Family Medicine | 1680 Chambers St, Suite 103, Eugene, OR 97402-3655 | 2012-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| 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 |
|---|---|---|---|---|
| 1720461981 | Aaron Lau | Dentist | 890 Seneca Rd, Ste 100, Eugene, OR 97402-6900 | 2015-07-07 |
| 1467845446 | Ronald J Levine Dmd PC | Dentist | 244 B Country Club Rd, Eugene, OR 97401-2200 | 2015-03-14 |
| 1649668609 | Joe W. Martin,d.d.s.,p.c. | Dentist | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2014-12-29 |
| 1285043166 | Andrew Trevor Tillman | Dentist | 86479 N Modesto Dr, Eugene, OR 97402-9008 | 2014-08-05 |
| 1609208040 | Sung Yeon Ji | Dentist | 927 Country Club Rd Ste 100, Eugene, OR 97401-6018 | 2013-08-08 |
| 1558645499 | Katharine S Berka | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2011-10-10 |
| 1124254230 | John Palmer Mckim | Dentist | 1045 Willagillespie Rd Suite 125, Eugene, OR 97401 | 2009-06-03 |
| 1326297524 | Olga Weinstein | Dentist | 3007 N Delta Hwy Unit 203, Eugene, OR 97408-7119 | 2008-09-11 |
| 1306000518 | Benjamin Lavarn Thomas | Dentist | 895 Country Club Rd Ste C150, Eugene, OR 97401-2359 | 2008-07-16 |
| 1073786364 | James Wayne Ridley | Dentist | 1925 Bailey Hill Rd, Suite A, Eugene, OR 97405-1142 | 2008-04-08 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on DR. BRUCE WALLACE MOLD.
| 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.