EUGENE ENDODOTICS LLC (NPI# 1427200138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427200138 |
| Entity Type | Organization |
| Organization Name | EUGENE ENDODOTICS LLC |
| Practice Address |
2233 Willamette St Ste E Eugene OR 97405-2890 |
| Mailing Address |
2233 Willamette St. Suite E Eugene OR 97405-2890 |
| Practice Telephone | 5414849018 |
| Practice Fax Number | 5413458037 |
| Mailing Telephone | 5414849018 |
| Mailing Fax Number | 5413458037 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | DAVID EARL WILSON (OWNER) |
| Authorized Official Telephone | 5414849018 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
8541 | OR | Dental Providers |
| Street Address |
2233 WILLAMETTE ST STE E |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| 1679738850 | Jim Everett Ruckman | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401-1751 | 2008-07-27 |
| 1306973490 | Frederick Robert O'donnell | Dentist | 487 E 11th Ave, Eugene, OR 97401-3605 | 2007-02-27 |
| 1891851424 | Karl Wagenknecht | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2006-12-28 |
| 1396283016 | Valley River Endodontics, LLC | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401 | 2017-02-01 |
| 1669857371 | Emily Case | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2015-07-23 |
| 1548319767 | Tian Xia | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2007-01-09 |
| 1891857462 | Daniel Poulson Bitner | Dentist | 911 Country Club Rd, Suite # 140, Eugene, OR 97401-6044 | 2006-12-13 |
| 1588744809 | Michael Thomas Dryden | Dentist | 911 Country Club Rd, Suite 140, Eugene, OR 97401-6044 | 2006-10-17 |
| Find all providers in EUGENE | ||||
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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.