MAIN STREET DENTAL (NPI# 1124571369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124571369 |
| Entity Type | Organization |
| Organization Name | MAIN STREET DENTAL |
| Other Organization Name | SETH MONSON DMD LLC |
| Practice Address |
810 N Main Ave Gresham OR 97030-5538 |
| Practice Telephone | 5036658283 |
| Practice Fax Number | 5036697263 |
| Mailing Telephone | 5036658283 |
| Mailing Fax Number | 5036697263 |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |
| Authorized Official Name | KATE HARMSTON (OFFICE MANAGER) |
| Authorized Official Telephone | 5036658283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10345 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Seth Monson DMD LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699952440 | Main Street Dental | Clinic/Center | 340 W Main St, Carpentersville, IL 60110-2844 | 2008-01-23 |
| 1043557085 | Main Street Dental | Dentist | 8747 Northwest Dr, Southaven, MS 38671-2409 | 2013-01-10 |
| 1124359773 | Main Street Dental | Dentist | 207 Upper Main St, Edgartown, MA 02539-5927 | 2010-01-21 |
| 1649484098 | Main Street Dental | Dentist | 808 Main St, Westbrook, ME 04092-3423 | 2007-05-09 |
| 1124150248 | Main Street Dental | Dentist | 301 Main St E, Suite 2, New Prague, MN 56071-1803 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MAIN STREET DENTAL | 810 N Main Ave, Gresham, OR 97030 |
| Oregon Corporations, Companies and Business Names | MAIN STREET DENTAL ASSISTING SCHOOL, LLC | 801 N Main Street, Gresham, OR 97030 |
| Oregon Corporations, Companies and Business Names | MAIN STREET DENTAL AT 1910 | 1910 Main Street Suite B, Forest Grove, OR 97116 |
| Oregon Corporations, Companies and Business Names | MAIN STREET DENTAL CARE | 116 S Main St Ste 1, Pendleton, OR 97801 |
| Colorado Business Entities | Main Street Dental Hygiene | 413 East Main Street, Buena Vista, CO 81211 |
| Indiana Business Entities | MAIN STREET DENTAL INVESTMENT, LLC | 9555 S. 475 East, Ferdinand, IN 47532-9466 |
| System for Award Management (SAM) Entities | MAIN STREET DENTAL OF LITTLETON, PLLC | 186 Main St, Littleton, NH 03561-4014 |
| Colorado Business Entities | Main Street Dental, LLC | 330 Main Street, Canyon City, CO 81212 |
| Iowa Business Entities | MAIN STREET DENTAL, P.C. | 1205 W. Main Street, Marshalltown, IA 50158 |
| Street Address |
810 N MAIN AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003298605 | Ngan Hoang | Dentist | 670 Nw Eastman Pkwy, Gresham, OR 97030-7255 | 2015-06-19 |
| 1487990172 | Gresham Family Dentistry, PC | Dentist | 501 Ne Hood Ave Ste 333, Gresham, OR 97030-7346 | 2012-12-27 |
| 1508184839 | Mailiki L Patterson | Dentist | 2383 Se Meadow Ct, Gresham, OR 97080-9398 | 2010-05-11 |
| 1821256827 | Greene & Westermeyer PC | Dentist | 4255 Se 182nd Ave, Gresham, OR 97030 | 2008-05-27 |
| 1942478904 | Avenue Dental Care | Dentist | 1388 E Powell Blvd, Gresham, OR 97030-8004 | 2008-02-13 |
| 1841499696 | Michael L Mckeel | Dentist | 108 Ne Second, Gresham, OR 97030 | 2007-07-12 |
| 1336352368 | Jeremy E Archibald | Dentist | 742 Ne Division St Ste 101, Gresham, OR 97030-3979 | 2007-05-07 |
| 1629107123 | Fredrick C. Thompson | Dentist | 1867 Nw Civic Dr, Gresham, OR 97030-5566 | 2007-03-02 |
| 1427183110 | Brian L Allen | Dentist | 946 Ne Burnside, Gresham, OR 97030 | 2007-02-22 |
| 1902993694 | Gary L Fisher | Dentist | 320 Ne 5th St, Gresham, OR 97030 | 2006-10-06 |
| Find all providers in GRESHAM | ||||
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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.