MAGNOLIA FAMILY DENTISTRY, LLC (NPI# 1326518119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326518119 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY DENTISTRY, LLC |
| Practice Address |
1791 Nw 173rd Ave Ste 110 Beaverton OR 97006-5630 |
| Practice Telephone | 5033725527 |
| Mailing Telephone | 5033725527 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | DR. MIRA DELLA CROCE (DENTIST) |
| Authorized Official Telephone | 5033725527 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881922466 | Magnolia Family Dentistry, LLC | Dentist | 513 W Commerce St, Aberdeen, MS 39730-2543 | 2009-11-19 |
| Street Address |
1791 NW 173RD AVE STE 110 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134439144 | Mira Kharoti Della Croce | Dentist | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2010-10-13 |
| 1295168086 | Teresa Williams | Dental Hygienist | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1457851495 | Cloud Nine Dental Care LLC | Clinic/Center | 8285 Sw Nimbus Ave Ste 185, Beaverton, OR 97008-6465 | 2018-02-16 |
| 1205447786 | Sleep Health Partners LLC | Clinic/Center | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2020-08-10 |
| 1689292781 | Pacific Northwest Dental, LLC | Clinic/Center | 12725 Sw 2nd St, Beaverton, OR 97005-2708 | 2020-07-06 |
| 1003467358 | Jade Dental LLC | Clinic/Center | 12450 Sw Pioneer Ln, Beaverton, OR 97008-8377 | 2019-09-26 |
| 1841724481 | Cherry Dental of Beaverton | Clinic/Center | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2017-04-19 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1720322431 | Americaredental | Clinic/Center | 4350 Sw Cedar Hills Blvd Ste B, Beaverton, OR 97005-2013 | 2012-11-19 |
| 1619235983 | S. Alexander Marrero Dds, PC | Clinic/Center | 16400 Sw Hart Rd, Suite A, Beaverton, OR 97007-3457 | 2012-04-24 |
| 1750656377 | Irina Moga Dds | Clinic/Center | 4970 Sw Main Ave, Suite 200, Beaverton, OR 97005-2740 | 2012-03-14 |
| Find all providers in BEAVERTON | ||||
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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.