DR. KENNETH ROBERT GREENBAUM


Address: 2450 Lancaster Dr Ne, Suite 200, Salem, OR 97305-1130
Phone: 5033629548

DR. KENNETH ROBERT GREENBAUM (NPI# 1902889900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902889900
Entity Type Individual
Full Name DR. KENNETH ROBERT GREENBAUM
Credential DDS, MS
Practice Address 2450 Lancaster Dr Ne
Suite 200
Salem
OR 97305-1130
Mailing Address 34 Northview Ct
Lake Oswego
OR 97035-1072
Practice Telephone 5033629548
Practice Fax Number 5033622189
Mailing Telephone 5036997758
Mailing Fax Number 5036991194
Enumeration Date 2005-11-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
4701 OR Dental Providers

Office Location

Street Address 2450 LANCASTER DR NE
SUITE 200
City SALEM
State OR
Zip Code 97305-1130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396134896 Viktoria P. Talebian Dmd PC Dentist 128 Highland Avenue, Suite #1, Salem, MA 01970 2015-01-21
1861732927 Reid Michael Amborn Dentist 1810 E Nob Hill St Se, Salem, OR 97302-5238 2013-02-26
1053605246 Cole R Johnson Dentist 2755 Commercial St Se Ste 200, Salem, OR 97302-4991 2011-06-05
1457675738 Thomas Orthodontics Dentist 424 State Road 198, Salem, UT 84653-4605 2010-03-16
1801012240 Frank R Bailey Ddd Inc Dentist 2384 Southeast Blvd, Salem, OH 44460-3418 2007-04-17
1508904046 Richard Horne Tate Dentist 701 S College Ave, Salem, VA 24153-5167 2007-02-04
1366518672 Mcdonald Orthodontics Dentist 1855 West Nob Hill St Se, Suite 300, Salem, OR 97302 2006-11-28
1750455325 Richard S Teel Dentist 1460 Commercial St Se, Salem, OR 97302-4308 2006-11-17
1922170208 Earl Edmondson Gilder Dentist 3940 Lancaster Dr Ne, Salem, OR 97305-1450 2006-11-14
1013020031 Viktoria Talebian Dentist 128 Highland Ave # 1, Salem, MA 01970-2724 2006-08-16
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97305

Improve Information

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Dataset Information

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.

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