MILWAUKIE EMERGENCY DENTIST LLC (NPI# 1902391816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902391816 |
| Entity Type | Organization |
| Organization Name | MILWAUKIE EMERGENCY DENTIST LLC |
| Other Organization Name | SUNRISE DENTAL OF MILWAUKIE |
| Practice Address |
18807 Se Mcloughlin Blvd Milwaukie OR 97267-6735 |
| Mailing Address |
15595 Se Pioneer Dr Clackamas OR 97015-7323 |
| Practice Telephone | 5033056269 |
| Mailing Telephone | 3609105802 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | DR. BYUNG-IL LEE (DENTIST) |
| Authorized Official Telephone | 5033056269 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D9672 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sunrise Dental of Milwaukie | Other Name - Individual/Organization |
| Street Address |
18807 SE MCLOUGHLIN BLVD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-6735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437453420 | Eric Matzelle | Dentist | 18807 Se Mcloughlin Blvd, Milwaukie, OR 97267-6735 | 2011-01-05 |
| 1346791308 | Emergency Dentist of Milwaukie Inc | Dentist | 18807 Se Mcloughlin Blvd, Milwaukie, OR 97267-6735 | 2016-10-14 |
| 1003273509 | Junghee Kim | Dentist | 18807 Se Mcloughlin Blvd, Milwaukie, OR 97267-6735 | 2016-01-28 |
| 1952733420 | Westover and Associates | Dentist | 18807 Se Mcloughlin Blvd, Milwaukie, OR 97267-6735 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1285970897 | William Behrndt D.m.d | Clinic/Center | 3030 Se Monroe St, Milwaukie, OR 97222-6637 | 2012-12-31 |
| 1487976056 | Sue Chadwick Walker, Dmd PC | Clinic/Center | 2236 Se Washington St Ste A, Milwaukie, OR 97222-7696 | 2010-02-23 |
| 1780234575 | Thomas D. Cardwell, Dmd, PC | Clinic/Center | 11400 Se 37th Ave, Milwaukie, OR 97222-5982 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| 1124511191 | Enk Dental PC | Clinic/Center | 6516 Ne Siskiyou St, Portland, OR 97213-4572 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MILWAUKIE EMERGENCY DENTIST LLC.
| 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.