FLORENCE DENTAL CLINIC (NPI# 1053678516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053678516 |
Entity Type | Organization |
Organization Name | FLORENCE DENTAL CLINIC |
Practice Address |
2750 Kingwood Florence OR 97430 |
Mailing Address |
Po Box 2956 Florence OR 97439-0167 |
Practice Telephone | 5419973535 |
Practice Fax Number | 5419973186 |
Mailing Telephone | 5419973535 |
Mailing Fax Number | 5419973186 |
Enumeration Date | 2012-04-20 |
Last Update Date | 2012-04-20 |
Authorized Official Name | DR. BRIAN G HOLMES (PRESIDENT FLORENCE DENTAL CLINIC) |
Authorized Official Telephone | 5419973535 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
D-9155 | OR | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
D-7754 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538330444 | Florence Dental Clinic | Dentist | 129 Earl Clark Drive, Florence, MS 39073 | 2008-03-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | FLORENCE DENTAL CLINIC | 2750 Kingwood St, Florence, OR 97439 |
Oregon Corporations, Companies and Business Names | FLORENCE DENTAL CLINIC, P.C. | 2750 Kingwood, Florence, OR 97439 |
Street Address |
2750 KINGWOOD |
City | FLORENCE |
State | OR |
Zip Code | 97430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457522526 | Katrina Nussman | Counselor | 91955 Deadwood Creek Rd, Deadwood, OR 97430-9704 | 2008-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962530 | Nathan Bryant | Non-emergency Medical Transport (VAN) | 519b W Darlington St, Florence, SC 29501-2413 | 2020-11-05 |
1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
1902405368 | Latoya Wanzer | Early Intervention Provider Agency | 19 Manigault Ct, Florence, SC 29501-8827 | 2020-10-18 |
1326645862 | Angel Hearts Co. LLC | Home Health Aide | 3656 S Irby St Ste C, Florence, SC 29505-5225 | 2020-10-07 |
1467059055 | Damon Quinn Smith | Social Worker | 126 E Tennessee St, Florence, AL 35630-5623 | 2020-10-06 |
1699372276 | Cody Evans | Behavior Technician | 215 Maple St Ste A103a109, Florence, CO 81226-1443 | 2020-10-06 |
1366049587 | Nieman Home Care LLC | Home Health | 73 Cavalier Blvd Ste 127, Florence, KY 41042-5180 | 2020-10-01 |
1740897123 | Labs Plus, LLC | Clinical Medical Laboratory | 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 | 2020-09-29 |
1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
Find all providers in FLORENCE |
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 |
---|---|---|---|---|
1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
1114284858 | Strong & Healthy Smiles | Dentist | 40 Main St Ste 204, Florence, MA 01062-3100 | 2012-04-19 |
Find all providers in FLORENCE |
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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.