HARVARD ENDODONTICS, LLC (NPI# 1144657594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144657594 |
| Entity Type | Organization |
| Organization Name | HARVARD ENDODONTICS, LLC |
| Practice Address |
1813 W. Harvard Ave Suite 240 Roseburg OR 97471-8708 |
| Practice Telephone | 5416732383 |
| Practice Fax Number | 5414406319 |
| Mailing Telephone | 5416732383 |
| Mailing Fax Number | 5414406319 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | MRS. SUSAN LESLIE LIESINGER (OFFICE MANAGER) |
| Authorized Official Telephone | 5416732383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D5545 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | D5545 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HARVARD ENDODONTICS, LLC | 1813 W Harvard Suite 240, Roseburg, OR 97471 |
| Street Address |
1813 W. HARVARD AVE SUITE 240 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457520041 | Douglas Medical Equipment Supply LLC | Durable Medical Equipment & Medical Supplies | 1813 W. Harvard Ave, Ste 212, Roseburg, OR 97471 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477725331 | Michael J Allen Dds | Dentist | 1813 W Harvard Ave, Ste #240, Roseburg, OR 97470-2752 | 2008-03-31 |
| 1689851636 | Michael Jay Allen | Dentist | 1813 W Harvard Avenue, Suite 240, Roseburg, OR 97470 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997803 | Valley Endodontics | Dentist | 2350 Nw Century Dr Ste 200, Corvallis, OR 97330-3495 | 2017-12-12 |
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HARVARD ENDODONTICS, LLC.
| 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.