DANA MATLOCK, DDS, LLC (NPI# 1407489826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407489826 |
| Entity Type | Organization |
| Organization Name | DANA MATLOCK, DDS, LLC |
| Practice Address |
123 Se Douglas St Newport OR 97365-4426 |
| Practice Telephone | 5412642800 |
| Practice Fax Number | 5412658617 |
| Mailing Telephone | 5412642800 |
| Mailing Fax Number | 5412658617 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | DANA MATLOCK (DENTIST/PRESIDENT) |
| Authorized Official Telephone | 5412642800 |
| 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 | DANA MATLOCK, DDS, LLC | 467 1/2 W 10th Ave, Eugene, OR 97401 |
| Street Address |
123 SE DOUGLAS ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885207 | Heidi Renee Romney | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2005-10-18 |
| 1891393427 | Douglas A Chadwick Dds PC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-10-15 |
| 1689892465 | Family Dental Group of Newport PC | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2007-04-24 |
| 1811067382 | Douglas Alan Chadwick | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2006-11-09 |
| 1124009816 | Kenneth Mark Builder | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621733 | Newport Dental Associates P.C. | Clinic/Center | 11 Catherine St Unit D, Newport, RI 02840-3497 | 2019-10-22 |
| 1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
| 1891393427 | Douglas A Chadwick Dds PC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-10-15 |
| 1437506888 | Newport Family Dental, Plc | Clinic/Center | 494 Highland Ave, Newport, VT 05855-4919 | 2016-05-16 |
| 1447518154 | Dr James D. Windell, Dmd | Clinic/Center | 135 Nw 15th St, Newport, OR 97365-2348 | 2012-05-01 |
| 1104906379 | Michael J Roscher Dds, Pa | Clinic/Center | 1590 Hastings Ave, Newport, MN 55055-1646 | 2006-10-16 |
| 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 | ||||
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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.