BREN DIXON DMD LLC (NPI# 1396085221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396085221 |
| Entity Type | Organization |
| Organization Name | BREN DIXON DMD LLC |
| Other Organization Name | BEAR CREEK PEDIATRIC DENTISTRY |
| Practice Address |
1150 Crater Lake Ave Suite C Medford OR 97504-6213 |
| Practice Telephone | 5417733327 |
| Mailing Telephone | 5417733327 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | DR. BREN DIXON (MEMBER) |
| Authorized Official Telephone | 5417733327 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D9739 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bear Creek Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
1150 CRATER LAKE AVE SUITE C |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334254 | Steven Alan Frimkess | Dentist | 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 | 2005-08-25 |
| 1598219891 | Best Care Dental Center LLC | Dentist | 1150 Crater Lake Ave, Suite L, Medford, OR 97504-6213 | 2016-08-04 |
| 1124470604 | Spencer Burnham | Dentist | 1150 Crater Lake Ave, Suite L, Medford, OR 97504-6213 | 2016-07-07 |
| 1871900365 | Rogue Valley Dental Center LLC | Dentist | 1150 Crater Lake Ave, Suite E, Medford, OR 97504-6213 | 2014-07-16 |
| 1760752141 | Rogue Valley Dental Center | Dentist | 1150 Crater Lake Ave, Ste E, Medford, OR 97504-6213 | 2012-01-03 |
| 1669602777 | Bren Dixon | Dentist | 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 | 2009-07-23 |
| 1275768483 | Arete Nw, LLC | Clinic/Center | 1150 Crater Lake Ave, Medford, OR 97504-6213 | 2009-05-18 |
| 1992904429 | Mia N Deane | Massage Therapist | 1150 Crater Lake Ave, Ste. G, Medford, OR 97504-6213 | 2007-07-14 |
| 1578556072 | James C. Catt | Dentist | 1150 Crater Lake Ave, Suite #e, Medford, OR 97504-6213 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619476058 | Kathryn Irene Vitiello | Dentist | 72 Woburn St, Medford, MA 02155-3419 | 2018-02-11 |
| 1962777193 | Anne H Dennehy Dds | Dentist | 801 E Main St Ste 101, Medford, OR 97504-7169 | 2012-03-21 |
| 1164567624 | Scott Louis Goldstein | Dentist | 1719 N Ocean Ave Ste C, Medford, NY 11763-2669 | 2007-02-21 |
| 1306945381 | Pamela J Ortiz | Dentist | 691 Murphy Rd Suite 210, Medford, OR 97504 | 2006-09-22 |
| 1932199163 | David M Alex | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2005-10-27 |
| 1356334254 | Steven Alan Frimkess | Dentist | 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 | 2005-08-25 |
| 1427058296 | Anne Heubach Dennehy | Dentist | 801 E Main St, Suite 101, Medford, OR 97504-7169 | 2005-07-22 |
| 1598262818 | James Kolby Robinson, Dmd | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2018-04-12 |
| 1154711687 | David M Alex Dds PC | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2015-02-05 |
| 1114200912 | Medford Children's Dental Center, PC | Dentist | 520 Stokes Rd, Suite B 18, Medford, NJ 08055-2904 | 2011-09-28 |
| Find all providers in MEDFORD | ||||
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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.