WEST COAST DENTAL (NPI# 1285858027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285858027 |
| Entity Type | Organization |
| Organization Name | WEST COAST DENTAL |
| Practice Address |
1880 Lancaster Dr Ne Ste 121 Salem OR 97305-1069 |
| Mailing Address |
1740 W 17th Ave Eugene OR 97402-3619 |
| Practice Telephone | 5035894515 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CEDRIC ROSS HAYDEN (OWNER) |
| Authorized Official Telephone | 5412428904 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730578063 | West Coast Dental | Dental Assistant | 3571 N 1st St Ste 203, San Jose, CA 95134-1803 | 2015-01-09 |
| 1043434988 | West Coast Dental | Dentist | 595 W 8th Ave, Eugene, OR 97401-2806 | 2007-04-12 |
| 1932323607 | West Coast Dental | Dentist | 1050 W Elm Ave Ste 230, Hermiston, OR 97838-2714 | 2007-04-12 |
| 1538638796 | West Coast Dental | Dental Hygienist | 12730 Hawthorne Blvd Ste D, Hawthorne, CA 90250-3919 | 2018-11-16 |
| 1801186556 | West Coast Dental | Dental Assistant | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2011-04-14 |
| 1699936575 | West Coast Dental | Dentist | 732 Sw 3rd Ave, Suite 202, Portland, OR 97204-2416 | 2008-06-23 |
| 1073717781 | West Coast Dental | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2007-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST COAST DENTAL ARTS | 159 Medford Ave, Hayward, CA 94541-1748 |
| Washington State Corporations | WEST COAST DENTAL GROUP LIMITED LIABILITY COMPANY | 1002 Harvey Rd, Auburn, WA 98002 |
| Oregon Corporations, Companies and Business Names | WEST COAST DENTAL LAB | 5935 Darcy St Se, Salem, OR 97306 |
| Oregon Corporations, Companies and Business Names | WEST COAST DENTAL REPAIR AND SALES. | 1698 Carton Way, Grants Pass, OR 97526 |
| Street Address |
1880 LANCASTER DR NE STE 121 |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225049562 | Ioane Ofisa | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2006-08-11 |
| 1083099451 | Krikor Kevork Gazarian | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2015-07-27 |
| 1073997086 | Katelyn Nichols | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2015-07-20 |
| 1346678877 | Arrow Dental LLC | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2013-10-18 |
| 1609005867 | Dennis Iverson | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2009-07-09 |
| 1215124052 | Ryan Crowley | Dentist | 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| 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 |
|---|---|---|---|---|
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1407414642 | Selma Moon Pierce | Dentist | 961 Glen Eden Ct Nw, Salem, OR 97304-2258 | 2019-06-03 |
| 1295392926 | Brock Jesse Nelson | Dentist | 631 Jason St Ne Ste 150, Salem, OR 97301-2750 | 2019-05-29 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1437643616 | Idylwood Dental LLC | Dentist | 4392 Liberty Road, Salem, OR 97302-6171 | 2018-06-20 |
| 1619428281 | William D. Bateman, Dmd, LLC | Dentist | 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 | 2016-10-19 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1275960296 | Amy Trevor | Dentist | 1595 Commercial St. Se, Salem, OR 97302 | 2013-10-04 |
| 1558601385 | Crisdental East Salem, LLC | Dentist | 3545 Lancaster Dr Ne, Salem, OR 97305-1435 | 2013-02-14 |
| Find all providers in SALEM | ||||
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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.