DR. ALEXANDER GREGORY BRODSKY (NPI# 1063591931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063591931 |
Entity Type | Individual |
Full Name | DR. ALEXANDER GREGORY BRODSKY |
Credential | DMD |
Practice Address |
3653 Se 34th Ave Portland OR 97202-3034 |
Mailing Address |
10618 Sw 43rd Ave Portland OR 97219-6992 |
Practice Telephone | 5039884410 |
Practice Fax Number | 5039885642 |
Mailing Telephone | 5034885984 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
D7465 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396781332 | Alexander Brodsky | Internal Medicine | 8622 Bay Pkwy, Brooklyn, NY 11214-4168 | 2006-06-20 |
Street Address |
3653 SE 34TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97202-3034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255425294 | Alicia Joy Plumb | Dentist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2006-10-03 |
1578180212 | Kendal D Cusack | Pharmacist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2020-06-29 |
1598382236 | Astrid Joy Hollensteiner | Pharmacy Technician | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2020-06-29 |
1285136820 | Multnomah County | Clinic/Center | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2018-02-28 |
1558770149 | Ruth Saunders | Nurse Practitioner | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2014-08-07 |
1922424803 | Perla Sabeniano Gilfillan | Dental Hygienist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2014-03-14 |
1396087631 | Multnomah County Oregon | Pharmacy | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2013-03-25 |
1881940435 | Diana V. Bokov | Dentist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2012-08-01 |
1447533948 | Margot Strauhull | Counselor | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2011-09-21 |
1255644332 | Multnomah County | Clinic/Center | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2010-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
Find all providers in zip 97202 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477616720 | Jia Lin Goh | Dentist | 2403 Se Monroe St Ste F, Portland, OR 97222-7646 | 2006-12-18 |
1174979934 | Native American Rehabilitation Association Northwest, Inc. | Dentist | 12750 Se Stark St, Building E, Portland, OR 97233-1539 | 2016-05-11 |
1841441904 | Dental Outreach Oregon | Dentist | 4707 Sw Kelly Ave, Suite 205, Portland, OR 97239-4252 | 2008-10-08 |
1710002324 | City of Portland Maine Hhs, Phd | Dentist | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427603968 | County of Tillamook | Dentist | 1925 Suppress Rd N, Tillamook, OR 97141-9296 | 2019-08-01 |
1184289845 | Bdg Dental LLC | Dentist | 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 | 2019-05-07 |
1851878235 | Gregory A Shook | Dentist | 2575 Center Street Ne, Salem, OR 97301-4667 | 2018-07-27 |
1730341975 | County of Tillamook | Dentist | 34325 Highway 101 S, Cloverdale, OR 97112-9400 | 2008-06-30 |
1639291008 | Todd Michael Schroeder | Dentist | 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 | 2007-04-04 |
1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
1477613636 | Cynthia Rachel Varro | Dentist | 3617 S Pacific Highway, Medford, OR 97501 | 2006-12-11 |
1184703324 | Athena Marie Bettger | Dentist | 600 Ne 8th, Dental Clinic, Gresham, OR 97030 | 2006-11-06 |
1083600712 | Bc Nelson | Dentist | 470 E Washington St, Stayton, OR 97383-1837 | 2005-09-27 |
1417568668 | County of Tillamook | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-08-12 |
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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.