WHITE PINE DENTAL GROUP PLLC (NPI# 1043443260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043443260 |
| Entity Type | Organization |
| Organization Name | WHITE PINE DENTAL GROUP PLLC |
| Other Organization Name | MARKHAM FAMILY DENTAL ASSOCIATES |
| Practice Address |
2105 Pine St Harlan IA 51537 |
| Practice Telephone | 7127555342 |
| Practice Fax Number | 7127555666 |
| Mailing Telephone | (712) 755-5342 |
| Mailing Fax Number | 7127555666 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | DR. PHILLIP L MARKHAM (OWNER/DENTIST) |
| Authorized Official Telephone | 7127555342 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7374 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1487883948 | 05 | |
| IA | 1356457535 | 05 | |
| IA | 1639364383 | 05 |
| Other Name | Type Code |
|---|---|
| Markham Family Dental Associates | Former Legal Business Name - Organization |
| Street Address |
2105 PINE ST |
| City | HARLAN |
| State | IA |
| Zip Code | 51537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356457535 | Phillip Lynn Markham | Dentist | 2105 Pine St, Harlan, IA 51537 | 2006-08-21 |
| 1811469851 | Markham Family Dental Associates, Inc. | Dentist | 2105 Pine St, Harlan, IA 51537-1898 | 2018-12-31 |
| 1780114447 | Mary Hoch | Dentist | 2105 Pine St, Harlan, IA 51537-1850 | 2017-06-15 |
| 1366821183 | Logan Veath | Dentist | 2105 Pine St, Harlan, IA 51537-1850 | 2015-05-26 |
| 1225293582 | Earl E. Boltinghouse | Dentist | 2105 Pine St, Harlan, IA 51537-1850 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925097 | Morningview Dental, Pllc | Dentist | 1116 Morningview Dr., Harlan, IA 51537 | 2017-11-13 |
| 1992133292 | Frances B. Hutson | Dietitian, Registered | 2003 Chatburn Ave., Hy-vee, Harlan, IA 51537 | 2013-10-23 |
| 1043449168 | Edith H Shetler | Speech-Language Pathologist | 1213 Garlfied Ave, Harlan, IA 51537 | 2009-07-10 |
| 1114086287 | Heartland Family Service | Clinic/Center | 1710 Industrial Pkwy, Harlan, IA 51537 | 2006-12-06 |
| 1831114255 | Concerned, Inc. | Day Training, Developmentally Disabled Services | 1802 Industrial Parkway, Harlan, IA 51537 | 2006-07-13 |
| 1457323198 | Michael R Rosmann | Psychologist | 1210 7th St, Ste C Michael R Rosmann Phd, Harlan, IA 51537 | 2006-02-06 |
| 1912982075 | Bret D. Heileson | Emergency Medicine | 1220 Chatburn Avenue, Harlan, IA 51537 | 2005-12-13 |
| 1821468547 | Swfac | Podiatrist | 1213 Garfield Ave, Harlan, IA 51537 | 2015-10-07 |
| 1235109067 | David G. Erlbacher | Emergency Medicine | 1220 Chatburn Avenue, Harlan, IA 51537 | 2006-01-24 |
| 1255449575 | Dr Jays Family Eye Care LLC | Optometrist | 620 Market Street, Harlan, IA 51537-0712 | 2006-08-27 |
| Find all providers in zip 51537 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114490778 | Legendary Dental Pllc | Dentist | 1809 21st St, Harlan, IA 51537-1828 | 2019-01-07 |
| 1063925097 | Morningview Dental, Pllc | Dentist | 1116 Morningview Dr., Harlan, IA 51537 | 2017-11-13 |
| 1356457535 | Phillip Lynn Markham | Dentist | 2105 Pine St, Harlan, IA 51537 | 2006-08-21 |
| 1053302950 | Stephen Paul Allen | Dentist | 1407 Garfield Ave, Harlan, IA 51537-1822 | 2005-10-31 |
| 1881210714 | Kaitlyn Skidmore Patel | Dentist | 301 E Central St, Harlan, KY 40831-2303 | 2020-06-16 |
| 1811469851 | Markham Family Dental Associates, Inc. | Dentist | 2105 Pine St, Harlan, IA 51537-1898 | 2018-12-31 |
| 1780114447 | Mary Hoch | Dentist | 2105 Pine St, Harlan, IA 51537-1850 | 2017-06-15 |
| 1225293582 | Earl E. Boltinghouse | Dentist | 2105 Pine St, Harlan, IA 51537-1850 | 2008-07-25 |
| 1457558082 | Clint Brandon Mcqueen | Dentist | 118 S 1st St, Harlan, KY 40831-2318 | 2007-06-28 |
| 1043371008 | Stephen C Bryson | Dentist | 110 Professional Ln, Suite 201, Harlan, KY 40831-2590 | 2006-12-13 |
| Find all providers in HARLAN | ||||
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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.