ADVANTAGE DENTAL (NPI# 1285007807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285007807 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE DENTAL |
| Practice Address |
2381 Ne Conners Ave Bend OR 97701-6068 |
| Mailing Address |
948 Nw 17th St Redmond OR 97756-1353 |
| Practice Telephone | 8884680022 |
| Mailing Telephone | 5415717605 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | BRYNNA RUST (DENTAL HYGIENIST) |
| Authorized Official Telephone | 5415717605 |
| Authorized Official Credential | RDH, EPDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | H6967 | OR | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074375 | Advantage Dental | Dentist | 8 A East 63rd Street, New York, NY 10065 | 2015-06-01 |
| 1790173482 | Advantage Dental | Dentist | 908 Grove St, Vancouver, WA 98661-4834 | 2015-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | ADVANTAGE DENTAL | 2504 Huntleigh Dr, Oklahoma City, OK 73120 |
| New York State Corporations | ADVANTAGE DENTAL CARE, LLC | 2 Business Park Ct, Utica, Ny 13502 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL CLINICS | 442 Sw Umatilla Ave, Redmond, OR 97756 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL CLINICS, LLC | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL COMMUNITY HEALTH PLAN | 442 Sw Umatilla Avenue Suite 200, Redmond, OR 97756 |
| New York State Corporations | ADVANTAGE DENTAL EQUIPMENT AND SUPPLIES, INC. | 80 Maple Avenue, Smithtown, Ny 11787 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL FINANCIAL SERVICES | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL FROM DENTAQUEST | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756 |
| System for Award Management (SAM) Entities | ADVANTAGE DENTAL GROUP, P.C. | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756-7039 |
| Oregon Corporations, Companies and Business Names | ADVANTAGE DENTAL GROUP, P.C. | 442 Sw Umatilla Ave Ste 200, Redmond, OR 97756 |
| Street Address |
2381 NE CONNERS AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659417327 | Robert Anthony Bass | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2007-01-30 |
| 1700251865 | Alisa Stephenson | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-12-01 |
| 1245603695 | Brynna Rust | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-06 |
| 1053784538 | Kimberly Holliday | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-05 |
| 1295162329 | Tiffany Meilani Foy | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2013-10-03 |
| 1790079531 | Travis Robert Schuller | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-06-08 |
| 1194018564 | Teresa J Waite | Denturist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-05-18 |
| 1659660108 | Mary Ann Wren | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-04-05 |
| 1174837983 | Evan G Olson | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2010-08-04 |
| 1306098934 | Taylor Bybee | Dentist | 2381 Ne Conners Ave, Bend, OR 97701 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538579727 | Qhsa Dba Dr. Bradley J Burket Dmd, Md | Preferred Provider Organization | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2014-04-28 |
| 1801053012 | Steven J Kopp Od PC | Preferred Provider Organization | 63455 N Highway 97, Suite 75, Bend, OR 97701-6764 | 2008-05-16 |
| 1023568466 | Action Dynamix Massage, LLC | Preferred Provider Organization | 701 Nw Arizona Ave Ste 200, Bend, OR 97703-3298 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296675 | 6 Degrees Health Dx | Preferred Provider Organization | 5800 Ne Pinefarm Ct Ste 200, Hillsboro, OR 97124-8563 | 2020-05-12 |
| 1366974347 | Kgs Lcsw | Preferred Provider Organization | 843 E Main St Ste 304, Medford, OR 97504-7137 | 2017-03-30 |
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1659721397 | Oregon Department of Corrections | Preferred Provider Organization | 17734 Sw Shasta Trl, Tualatin, OR 97062-8455 | 2016-06-14 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1467842591 | Kevin Plummer Dc PC | Preferred Provider Organization | 1972 Laveta Ln, Eugene, OR 97402-1103 | 2015-01-27 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 1255761524 | Willamette Dental | Preferred Provider Organization | 4925 Sw Griffith Dr., Beaverton, OR 97005 | 2013-11-22 |
| Find all providers with the same taxonomy | ||||
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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.