GEOFFREY A STARK (NPI# 1326131970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326131970 |
| Entity Type | Individual |
| Full Name | GEOFFREY A STARK |
| Credential | DMD |
| Practice Address |
1602 Nw Hughwood Ct Roseburg OR 97470-8844 |
| Practice Telephone | 5416722872 |
| Practice Fax Number | 5416726885 |
| Mailing Telephone | 5416722872 |
| Mailing Fax Number | 5416726885 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5542 | OR | Dental Providers |
| Street Address |
1602 NW HUGHWOOD CT |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922439876 | Alexis Atchinson | Dentist | 1100 Nw Garden Valley Blvd, Roseburg, OR 97471-1923 | 2013-12-03 |
| 1902244619 | Jed R. Norman Dds LLC | Dentist | 1813 W Harvard Ave Ste 221, Roseburg, OR 97471-8704 | 2013-06-05 |
| 1568771194 | James J Hein | Dentist | 150 Kenneth Ford Dr., Roseburg, OR 97470 | 2010-09-30 |
| 1104131978 | Jerry Powell May | Dentist | 2392 Nw Esquire Dr, Roseburg, OR 97471-1702 | 2010-08-17 |
| 1740439165 | Brian K Bogardus | Dentist | 2365 Nw Stewart Pkwy, Roseburg, OR 97471-5653 | 2008-09-09 |
| 1740346766 | Bruce Arthur Ohara | Dentist | 2365 N Stewart Parkway, Roseburg, OR 97470 | 2006-12-28 |
| 1528150299 | William Lee Willis | Dentist | 2510 Nw Kline St, Roseburg, OR 97470 | 2006-09-29 |
| 1851348437 | Robert M Orr | Dentist | 544 W. Umpqua St, Roseburg, OR 97470 | 2006-05-28 |
| 1801881974 | Joe Wayne Howard Jr. | Dentist | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 | 2005-09-15 |
| 1962400812 | Rob Orr Dds PC | Dentist | 1539 W Harvard Ave, Roseburg, OR 97470-2873 | 2005-07-13 |
| Find all providers in ROSEBURG | ||||
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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.