MS. VICKI JOHNSTONE-DODGE (NPI# 1245642776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245642776 |
| Entity Type | Individual |
| Full Name | MS. VICKI JOHNSTONE-DODGE |
| Credential | RDH |
| Practice Address |
4000 E 30th Ave Eugene OR 97405-0640 |
| Mailing Address |
Po Box 2847 Eugene OR 97402-0327 |
| Practice Telephone | 5418172901 |
| Mailing Telephone | 5418172901 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H2305 | OR | Dental Providers |
| Street Address |
4000 E 30TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-0640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856532 | Harry Ernest Vandervort IIi | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2007-04-03 |
| 1609481654 | Justin Styles | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2020-09-15 |
| 1457764920 | Lane Community College | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2014-06-03 |
| 1669709812 | Jack Benjamin Dunham Jr. | Dentist | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2009-11-09 |
| 1336337245 | Laura Kristin Greene | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2007-10-05 |
| 1497970891 | Lane Community College Health Clinic | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645656 | Melinda Tenasha Davis | Dental Hygienist | 3354 Talon St, Eugene, OR 97408-7560 | 2019-02-15 |
| 1841704392 | Jo Ann Obie-eldredge | Dental Hygienist | 1849 Willamette St Ste 1b, Eugene, OR 97401-4683 | 2017-11-20 |
| 1861910226 | Dara Ann Moser Dudley | Dental Hygienist | 2703 Delta Oaks Dr Ste 300, Eugene, OR 97408-1700 | 2017-09-06 |
| 1912361858 | Gail Margaret Johnson | Dental Hygienist | 85078 Chezem Rd, Eugene, OR 97405-9438 | 2016-04-06 |
| 1932570298 | Janelle Christine Blondin | Dental Hygienist | 2286 Devon Ave, Eugene, OR 97408-7563 | 2015-10-13 |
| 1437548435 | Kathleen Grover | Dental Hygienist | 130 Kourt Dr, Eugene, OR 97404-2208 | 2015-01-13 |
| 1730585993 | Stacie A Banks | Dental Hygienist | 1321 Zinfandel Ln, Eugene, OR 97404-3873 | 2014-11-14 |
| 1508272311 | Michelle Daggett | Dental Hygienist | 2010 Hawkins Ln, Eugene, OR 97405-1324 | 2014-07-01 |
| 1801209622 | Cris Houser | Dental Hygienist | 759 Fair Oaks Dr, Eugene, OR 97401-2392 | 2014-06-09 |
| 1841602380 | Jill Jones | Dental Hygienist | 2640 Willamette St, Eugene, OR 97405 | 2014-06-02 |
| Find all providers in EUGENE | ||||
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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.