DR. SUNNY L DRAKE (NPI# 1467683276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467683276 |
| Entity Type | Individual |
| Full Name | DR. SUNNY L DRAKE |
| Credential | DMD, MS |
| Practice Address |
2235 Mission St Se Ste 250 Salem OR 97302-1294 |
| Mailing Address |
2235 Mission Str Se Suite250 Salem OR 97302 |
| Practice Telephone | 5033858821 |
| Practice Fax Number | 5033858825 |
| Mailing Telephone | 5033858821 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D9324 | OR | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DE 60276575 | WA | Dental Providers |
| Street Address |
2235 MISSION ST SE STE 250 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063117 | Drake Periodontics & Implantology PC | Dentist | 2235 Mission St Se Ste 250, Salem, OR 97302-1294 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1548671340 | Polaris Dental Specialists | Dentist | 620 12th Street Se, Salem, OR 97301 | 2014-05-14 |
| 1861610719 | Helyne Naomi Hamelburg | Dentist | 142 Canal St, Salem, MA 01970-4673 | 2007-04-23 |
| 1073730297 | Paradise Dental Associates, LLC | Dentist | 142a Canal Street, Salem, MA 01970 | 2007-04-19 |
| 1568589117 | Alvin Rosen | Dentist | 21 North St, Salem, MA 01970-3957 | 2007-03-26 |
| 1275628729 | Charles J Burliss | Dentist | 12 Stiles Rd, Suite 203, Salem, NH 03079 | 2006-10-03 |
| 1821074964 | Philip R O'neill | Dentist | 1 Manor Pkwy, Salem, NH 03079-2832 | 2005-12-20 |
| 1932106226 | John H. Seifert | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2005-07-01 |
| 1780105304 | Andres R Kaindl Dds | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2017-07-05 |
| 1609300268 | Andres Raul Kaindl | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2017-04-20 |
| 1891186839 | Sayij Makkattil | Dentist | 620 12th St Se, Salem, OR 97301-4001 | 2015-02-12 |
| Find all providers in SALEM | ||||
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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.