EUGENE DENTAL GROUP (NPI# 1306221445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306221445 |
| Entity Type | Organization |
| Organization Name | EUGENE DENTAL GROUP |
| Other Organization Name | ELIZABETH A. VIVONA DOW |
| Practice Address |
4750 Village Plaza Loop Suite 200 Eugene OR 97401-6601 |
| Mailing Address |
4750 Village Plaza Loop Suite 200 Eugene OR 97401 |
| Practice Telephone | 5416838646 |
| Mailing Telephone | 5416838646 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | ELIZABETH A. VIVONA (DENTIST) |
| Authorized Official Telephone | 5416838646 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9649 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Elizabeth A. Vivona Dow | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EUGENE DENTAL GROUP P.C. | 4750 Village Plaza Loop Suite 200, Eugene, OR 97401 |
| Street Address |
4750 VILLAGE PLAZA LOOP SUITE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942279831 | Jay C Lamb | Dentist | 4750 Village Plaza Loop, Suite #201, Eugene, OR 97401-6601 | 2006-03-14 |
| 1285154948 | Premiere Foot and Ankle LLC | Podiatrist | 4750 Village Plaza Loop, Eugene, OR 97401-6601 | 2017-06-23 |
| 1093950016 | Andrew Neal Dow | Dentist | 4750 Village Plaza Loop, Suite 102, Eugene, OR 97401-6601 | 2008-12-04 |
| 1427262526 | Village Plaza Dental | Dentist | 4750 Village Plaza Loop, #201, Eugene, OR 97401-6601 | 2007-05-09 |
| 1386856524 | Damion Daniel Gilday | Dentist | 4750 Village Plaza Loop, Suite 201, Eugene, OR 97401-6601 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1801362470 | Scott G Baker | Dentist | 2455 York St, Eugene, OR 97404-1955 | 2018-10-22 |
| 1477031532 | Timothy Lee | Dentist | 1680 Chambers St Ste 205, Eugene, OR 97402-3655 | 2018-08-01 |
| 1598250987 | Harmeet Kaur | Dentist | 2377 Oakmont Way # B, Eugene, OR 97401-6459 | 2018-06-27 |
| 1972024552 | Erik Jenson | Dentist | 1814 Coburg Rd Ste 2, Eugene, OR 97401-4986 | 2017-07-04 |
| 1255718086 | Arrow Dental LLC | Dentist | 890 Seneca Rd Ste 100, Eugene, OR 97402-6900 | 2015-04-30 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1386960805 | Elizabeth A. Vivona Dow | Dentist | 4750 Village Plaza Loop Ste 200, Eugene, OR 97401-6607 | 2010-04-08 |
| 1487886073 | Mulford Family Dentistry | Dentist | 622 E. 22nd Avenue, Bldg G, Eugene, OR 97405 | 2009-08-14 |
| 1669633483 | Amy Rebecca Mcdaniel | Dentist | 622 E 22nd Ave Ste A, Eugene, OR 97405-2989 | 2008-06-24 |
| 1558558973 | Robert Glen Rust Jr. | Dentist | 358 E 40th Ave, Eugene, OR 97405-3404 | 2007-09-30 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on EUGENE DENTAL GROUP.
| 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.