DENTALCARE LLC (NPI# 1316544935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316544935 |
| Entity Type | Organization |
| Organization Name | DENTALCARE LLC |
| Practice Address |
805 Ivy Ave Ste B Tillamook OR 97141-3758 |
| Mailing Address |
1010 Main Ave Tillamook OR 97141-3818 |
| Practice Telephone | 5038427788 |
| Mailing Telephone | 5038427788 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | DR. CYRUS JAVADI (SOLE MEMBER) |
| Authorized Official Telephone | 5038015363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DENTALCARE LLC | 805 Ivy Ave Suite B, Tillamook, OR 97141 |
| Street Address |
805 IVY AVE STE B |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972600955 | Samuel Gregory Benanti | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2006-09-20 |
| 1972110336 | Alicia Kay Holiman | Dental Hygienist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-09-29 |
| 1417568668 | County of Tillamook | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154747426 | Tillamook Denture Clinic | Clinic/Center | 2505 Main Ave N, Tillamook, OR 97141-9225 | 2014-03-11 |
| 1902363393 | Benjamin Zike Dds | Clinic/Center | 1103 3rd St, Tillamook, OR 97141-3402 | 2019-02-21 |
| 1962825117 | Tiffani A. Long Dds | Clinic/Center | 1115 Main Ave, Tillamook, OR 97141-3819 | 2014-01-23 |
| 1952669657 | Sandcreek Dental LLC | Clinic/Center | 1115 Main Ave, Tillamook, OR 97141-3819 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DENTALCARE LLC.
| 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.