MONICA BREANA KOWALSKI


Address: 3490 Lancaster Dr Ne, Salem, OR 97305
Phone: 8554336825

MONICA BREANA KOWALSKI (NPI# 1942609607) 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) 1942609607
Entity Type Individual
Full Name MONICA BREANA KOWALSKI
Credential DMD
Practice Address 3490 Lancaster Dr Ne
Salem
OR 97305
Mailing Address 6950 Ne Campus Way
Hillsboro
OR 97124-5611
Practice Telephone 8554336825
Enumeration Date 2014-08-19
Last Update Date 2018-09-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019-030017 IL Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
566 E Northwest Hwy, Palatine, IL 600746355 8472020033 8472020533

Office Location

Street Address 3490 LANCASTER DR NE
City SALEM
State OR
Zip Code 97305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629134630 Mary Ann Yoo Dentist 3490 Lancaster Dr Ne, Salem, OR 97305 2006-12-28
1427693423 Guinevere Noelle Tadina Dental Hygienist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2019-11-13
1720500044 Rachel Lee Means Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2017-07-07
1750835682 John Waite Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2016-08-09
1033562939 Scarlet Kim Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2016-07-15
1679946636 Ying Wan Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2015-11-12
1992182026 Willamette Dental Group Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2015-04-27
1386041358 Erda Carmel Pradel Dentist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2014-11-19
1447596366 Aimee Renee Axtell Dental Hygienist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2012-12-20
1770715005 Michele R Davidson Dental Hygienist 3490 Lancaster Dr Ne, Salem, OR 97305-1356 2009-08-20
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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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811537665 My Smile Experience P.C. Dentist 99 Rockingham Park Blvd # W111b, Salem, NH 03079-2900 2020-01-09
1861047532 Kathy Trinh Dentist 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 2019-08-08
1699266981 Morgan Nicole Shivers Dentist 2951 Oh-45, Salem, OH 44460 2018-05-23
1730684937 Eva Chiu Dentist 142a Canal St, Salem, MA 01970-4650 2018-03-28
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1942652557 Karin Arsenault Dentist 32 Stiles Rd Ste 208, Salem, NH 03079-2894 2016-07-07
1811391527 Hala Mahmod Dentist 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 2014-10-09
1871907139 Pure Dental PC Dentist 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 2014-06-16
1669811071 Stephanie Nicole Vlahos Dentist 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 2013-06-19
1568705168 Alfred Joseph Sotera Dentist 12 Stiles Road, Suite 206, Salem, NH 03079-2881 2013-04-02
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Competitor

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City SALEM
Zip Code 97305

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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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