TED C WEESNER, DDS (NPI# 1467629527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467629527 |
| Entity Type | Organization |
| Organization Name | TED C WEESNER, DDS |
| Practice Address |
18676 Willamette Dr Ste 303 West Linn OR 97068-1718 |
| Practice Telephone | 5036367010 |
| Practice Fax Number | 5036369851 |
| Mailing Telephone | 5036367010 |
| Mailing Fax Number | 5036369851 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MRS. PAULA L ANDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5036367010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D8267 | OR | Dental Providers |
| Street Address |
18676 WILLAMETTE DR STE 303 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134152663 | Ted C Weesner | Dentist | 18676 Willamette Drive, Suite 303, West Linn, OR 97008-1718 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1427504828 | Shashank Joshi | Dentist | 1739 W Harvard Ave, Roseburg, OR 97471-2716 | 2016-08-26 |
| 1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
| 1376944314 | Mikhail Garibov | Dentist | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2014-09-09 |
| 1548671340 | Polaris Dental Specialists | Dentist | 620 12th Street Se, Salem, OR 97301 | 2014-05-14 |
| 1295159986 | Andrew N Dow Dmd PC | Dentist | 4750 Village Plaza Loop Ste 102, Eugene, OR 97401-6601 | 2014-02-14 |
| 1043581465 | Riverplace Periodontics PC | Dentist | 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 | 2012-01-17 |
| 1730472986 | Wilson D Lee | Dentist | 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 | 2011-05-20 |
| 1184954422 | Kamran Haghighat Bds Ms PC | Dentist | 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 | 2010-01-08 |
| 1467683276 | Sunny L Drake | Dentist | 2235 Mission St Se Ste 250, Salem, OR 97302-1294 | 2009-07-29 |
| 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.