MACK S JOHNSEN DMD PC (NPI# 1346417748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346417748 |
| Entity Type | Organization |
| Organization Name | MACK S JOHNSEN DMD PC |
| Practice Address |
29990 Sw Town Center Lp Suite A Wilsonville OR 97070 |
| Mailing Address |
29990 Sw Town Center Lp W Suite A Wilsonville OR 97070 |
| Practice Telephone | 5036822110 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. MACK S JOHNSEN (DENTIST) |
| Authorized Official Telephone | 5036822110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4949 | OR | Dental Providers |
| Street Address |
29990 SW TOWN CENTER LP SUITE A |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| 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 |
|---|---|---|---|---|
| 1821497132 | Denise C Gates | Dentist | 29990 Sw Town Center Loop W, Suite A, Wilsonville, OR 97070-9425 | 2014-08-22 |
| 1346516192 | Wilsonville Smiles PC | Dentist | 30040 Sw Boones Ferry Road, Suite 20, Wilsonville, OR 97070 | 2012-03-27 |
| 1538434014 | Village Dental | Dentist | 29174 Sw Town Center Loop W, 201, Wilsonville, OR 97070-9306 | 2012-03-15 |
| 1871875401 | Villebois Dental, LLC | Dentist | 28900 Sw Villebois Dr N Ste D, Wilsonville, OR 97070-7347 | 2011-09-09 |
| 1205008034 | Mack S Johnsen | Dentist | 29990 Sw Town Center Loop W Suite A, Wilsonville, OR 97070 | 2008-04-01 |
| 1962554584 | Brock Van Gordon | Dentist | 30045 Sw Parkway Ave, Wilsonville, OR 97070-9735 | 2007-01-16 |
| 1851455935 | Jeffrey Dewey | Dentist | 25700 Sw Argyle Ave, Wilsonville, OR 97070-5799 | 2006-12-21 |
| 1891801205 | Annette Marie Pearson | Dentist | 8229 Sw Wilsonville Rd, 6ab, Wilsonville, OR 97070-7716 | 2006-08-21 |
| 1548271364 | Town Center Dental Care Inc | Dentist | 8263 Sw Wilsonville Rd, Ste C, Wilsonville, OR 97070 | 2006-08-10 |
| 1306355847 | Nelson Antonio Morales | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070-8910 | 2017-09-27 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on MACK S JOHNSEN DMD PC.
| 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.