BROADWAY FAMILY DENTAL CARE LLC (NPI# 1215001052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215001052 |
| Entity Type | Organization |
| Organization Name | BROADWAY FAMILY DENTAL CARE LLC |
| Other Organization Name | NORMAN D SAAGER |
| Practice Address |
508 E Broadway Milton Freewater OR 97862 |
| Practice Telephone | 5419383363 |
| Practice Fax Number | 5419383912 |
| Mailing Telephone | 5419383363 |
| Mailing Fax Number | 5419383912 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | MR. NORMAN DEAN SAAGER (DENTIST) |
| Authorized Official Telephone | 5419383363 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D8170 | OR | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4973 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Norman D Saager | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BROADWAY FAMILY DENTAL CARE LLC | 508 E Broadway, Milton Freewater, OR 97862 |
| Street Address |
508 E BROADWAY |
| City | MILTON FREEWATER |
| State | OR |
| Zip Code | 97862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538352 | Paksupim Cole | Massage Therapist | 85452 Hwy 11, Milton Freewater, OR 97862 | 2018-12-05 |
| 1356812192 | Lacey Elizabeth Rose Klem | Massage Therapist | 85458 Hywy 11, Milton Freewater, OR 97862 | 2018-12-05 |
| 1770778664 | Amon Chiropractic LLC | Chiropractor | 85458 Hwy 11, Milton Freewater, OR 97862 | 2007-09-13 |
| 1750462917 | Sarah S Hsu | Social Worker | 1253 Stonewood Ct, Milton Freewater, OR 97862 | 2006-10-17 |
| 1548890916 | Divine Mansiba Maganto | Nurse's Aide | 1010 Ne 3rd Ave, Milton Freewater, OR 97862 | 2020-01-24 |
| 1902317621 | Michael David Bruno | Speech-Language Pathologist | 120 Elzora St, Milton Freewater, OR 97862 | 2017-10-20 |
| 1821475286 | Danielle Strickland | Massage Therapist | 533 S Main St, Milton Freewater, OR 97862-1017 | 2015-05-05 |
| 1457476392 | Alicia A Taylor | Registered Nurse | 110 Sw 4th Ave, Milton Freewater, OR 97862-1031 | 2007-03-20 |
| 1225401151 | Serenity Counseling PC | Community/Behavioral Health | 1253 Stonewood Ct, Milton Freewater, OR 97862-1067 | 2015-10-30 |
| 1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
| Find all providers in zip 97862 | ||||
| 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 |
|---|---|---|---|---|
| 1326419383 | David Roberts | Dentist | 112 Ne 5th Ave, Milton Freewater, OR 97862-1704 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | MILTON FREEWATER |
| Zip Code | 97862 |
Please comment or provide details below to improve the information on BROADWAY FAMILY DENTAL CARE 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.