DR. JEREMY RICHARD KING (NPI# 1235394685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235394685 |
| Entity Type | Individual |
| Full Name | DR. JEREMY RICHARD KING |
| Credential | DMD |
| Practice Address |
1293 E Mcandrews Rd Medford OR 97504-6103 |
| Practice Telephone | 5417721215 |
| Practice Fax Number | 5417723210 |
| Mailing Telephone | 5417721215 |
| Mailing Fax Number | 5417723210 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D8487 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNITED CONCORDIA | 001640757 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164939849 | Jeremy Keith King | Specialist/Technologist | 360 Rebels Cir, Blue Ridge, GA 30513-8137 | 2018-01-04 |
| 1235390907 | Jeremy David King | Optometrist | 15702 East Highway 9, Norman, OK 73026 | 2008-06-24 |
| 1932371093 | Jeremy Malcolm King | Dentist | 4005 Nicholson Dr, Apt #2613, Baton Rouge, LA 70808-8402 | 2008-03-29 |
| 1982728580 | Jeremy Drew King | Dentist | 1381 Johnny Johnson Drive, Brookhaven, MS 39601-9641 | 2007-03-19 |
| 1013982529 | Jeremy Alan King | Obstetrics & Gynecology | 2330 W Joppa Rd, Suite 301, Lutherville, MD 21093-4609 | 2006-02-18 |
| 1073599890 | Jeremy C King | Family Medicine | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2005-12-22 |
| 1770192973 | Jeremy King | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-24 |
| 1073000345 | Jeremy R King | Registered Nurse | 330 S Stillaguamish Ave, Arlington, WA 98223-1642 | 2018-04-22 |
| 1194229658 | Jeremy King | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2018-03-20 |
| 1144731258 | Jeremy King | Counselor | 2195 3rd Ave, New York, NY 10035-3529 | 2017-10-16 |
| Street Address |
1293 E MCANDREWS RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073330 | Fox Dental - Medford LLC | Dentist | 1293 E Mcandrews Rd, Medford, OR 97504-6103 | 2016-06-08 |
| 1467849869 | Adam Fox | Dentist | 1293 E Mcandrews Rd, Medford, OR 97504-6103 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1154975076 | Patricia Rose Suing | Dentist | 1420 E Mcandrews Rd, Medford, OR 97504-6108 | 2019-07-29 |
| 1558920298 | Grace Jotika Dmd PC | Dentist | 0 Governors Ave Ste 1, Medford, MA 02155-3035 | 2019-06-06 |
| 1699266866 | Brent Hale | Dentist | 980 N Phoenix Rd Ste 101, Medford, OR 97504-9447 | 2018-05-23 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1679060677 | James Alexander | Dentist | 42 Pitcher Ave, Medford, MA 02155-2101 | 2018-04-16 |
| 1245731934 | Betty Vasiliki Alepedis-stoukides | Dentist | 12 Badger Rd, Medford, MA 02155-2937 | 2018-02-27 |
| 1073014700 | Asnis Dental, Pllc | Dentist | 1645 Route 112 Ste A, Medford, NY 11763-3662 | 2018-02-27 |
| 1336689835 | Gary A. Rosenfeld, Dds, PC | Dentist | 2801 Route 112, Suite A, Medford, NY 11763-2568 | 2017-03-02 |
| 1801269261 | James Kolby Robinson | Dentist | 1291 E. Mcandrews Rd., Medford, OR 80238-2506 | 2015-11-06 |
| 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.