CREEKSIDE FAMILY DENTAL (NPI# 1174073043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174073043 |
Entity Type | Organization |
Organization Name | CREEKSIDE FAMILY DENTAL |
Practice Address |
1234 N Riverside Ave Medford OR 97501-4619 |
Practice Telephone | 5417733756 |
Mailing Telephone | 5417733756 |
Enumeration Date | 2016-10-04 |
Last Update Date | 2016-10-04 |
Authorized Official Name | ANGIE HOLMES (OFFICE MANAGER) |
Authorized Official Telephone | 5417733756 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1700042313 | OR | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023481736 | Creekside Family Dental | Dentist | 111 W Johnstown Rd, Suite A, Gahanna, OH 43230-3515 | 2015-11-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | CREEKSIDE FAMILY DENTAL MEDFORD, P.C. | 1234 N Riverside Ave, Medford, OR 97501 |
Oregon Corporations, Companies and Business Names | CREEKSIDE FAMILY DENTAL P.C. | 500 Liberty St Se #300, Salem, OR 97301 |
Street Address |
1234 N RIVERSIDE AVE |
City | MEDFORD |
State | OR |
Zip Code | 97501-4619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609400035 | Medford Family Dental Care | Clinic/Center | 101 Main St Ste 220, Medford, MA 02155-4530 | 2020-02-25 |
1689229171 | 42 North Dental Care, LLC | Clinic/Center | 23 Riverside Ave, Medford, MA 02155-4605 | 2019-08-02 |
1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
1487005914 | Gio Dental At Station Landing | Clinic/Center | 8 Earhart Lndg, Medford, MA 02155-4964 | 2016-06-27 |
1962640771 | Jacob O. Layer, Dmd, PC | Clinic/Center | 1485 E Mcandrews Rd, Medford, OR 97504-6107 | 2009-02-02 |
1801074000 | First Dental, PC | Clinic/Center | 366 Salem St, Medford, MA 02155-3307 | 2008-02-11 |
1588848055 | Southern Oregon Periodontics, PC | Clinic/Center | 1762 E Mcandrews Rd Ste B, Medford, OR 97504-5577 | 2007-12-20 |
1326537143 | Jacob J Foutz Dmd, LLC | Clinic/Center | 806 E Jackson St, Medford, OR 97504-6773 | 2018-05-07 |
1578003901 | A Elite Dental, Inc | Clinic/Center | 3502 Excel Dr, #101, Medford, OR 97504-9136 | 2017-03-04 |
1497101430 | South Jersey Dental Sleep Center LLC | Clinic/Center | 76 N Main St, Medford, NJ 08055-2720 | 2016-05-09 |
Find all providers in MEDFORD |
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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.