DR. CHARLES CALVERT ROSSON III


Address: 5025 Se 28th Ave, Portland, OR 97202-4445
Phone: 5032384418

DR. CHARLES CALVERT ROSSON III (NPI# 1467477315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467477315
Entity Type Individual
Full Name DR. CHARLES CALVERT ROSSON III
Credential D.M.D.
Practice Address 5025 Se 28th Ave
Portland
OR 97202-4445
Mailing Address 500 Ne Multnomah St
Ste 100
Portland
OR 97232-2031
Practice Telephone 5032384418
Mailing Telephone 5038134947
Mailing Fax Number 5038133103
Enumeration Date 2006-07-13
Last Update Date 2016-06-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D6305 OR Dental Providers

Office Location

Street Address 5025 SE 28TH AVE
City PORTLAND
State OR
Zip Code 97202-4445

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225674757 Sarah Bachman Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2019-11-19
1275187189 Jessica Leigh Jacobs Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2019-07-29
1669998977 Meghan Kathleen Toevs Duey Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202-4445 2017-08-17
1235672049 Nicole Lyemone Yeats Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2016-11-28
1265984546 Kaiser Foundation Health Plan of The Northwest Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2016-11-02
1821451394 Keith Herkert Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2016-04-01
1841620507 Sierra Brandon Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202-4445 2013-11-17
1699105494 Jessicah Marie Brick Dental Hygienist 5025 Se 28th Ave, Portland, OR 97202 2013-11-15
1245580497 Jennifer Christine Mcguire Dental Assistant 5025 Se 28th Ave, Portland, OR 97202-4445 2012-09-14
1568793024 Mark Allan Villanueva Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2010-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760097034 Hannah Glazunov Dentist 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 2020-09-13
1093345159 Ashley Bennett Dds, LLC Dentist 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 2020-01-17
1841844354 Carly K Christoferson Dentist 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 2019-08-01
1083279384 Timber Dental Downtown LLC Dentist 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 2019-05-02
1780140715 Timber Dental East Burnside Dentist 1200 Se Sandy Blvd, Portland, OR 97214-1347 2019-02-14
1548726581 Timber Dental Bethany Dentist 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 2019-02-14
1124583208 Portland Dental LLC Dentist 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 2019-02-04
1245701465 Jeffrey Levitt Brady Dentist 10060 E Burnside St, Portland, OR 97216-2334 2018-12-16
1780166918 Daniel Alejandro Mesa Dentist 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 2018-09-04
1093293375 Trusha B Patel Dentist 3801 N Interstate Ave, Portland, OR 97227-1109 2018-07-30
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

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.

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