OREGON PEDIATRIC DENTISTRY (NPI# 1497196232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497196232 |
| Entity Type | Organization |
| Organization Name | OREGON PEDIATRIC DENTISTRY |
| Practice Address |
3140 Dustin Rd Oregon OH 43616-4341 |
| Practice Telephone | 4196984339 |
| Practice Fax Number | 4196983484 |
| Mailing Telephone | 4196984339 |
| Mailing Fax Number | 4196983484 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | MR. STEPHEN R BRANAM (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 4196984339 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
14897 | OH | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON PEDIATRIC DENTISTRY | 2150 Ne Division St, Ste 201, Gresham, OR 97030 |
| Street Address |
3140 DUSTIN RD |
| City | OREGON |
| State | OH |
| Zip Code | 43616-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560492 | Stephen Richard Branam | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2005-12-22 |
| 1437575834 | Specialty Dental Partners of Ohio Inc | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2014-03-10 |
| 1588952683 | Laura Jeane Westover | Dentist | 3140 Dustin Rd, Suite 3, Oregon, OH 43616-4341 | 2011-07-11 |
| 1114975786 | John D. Cercek | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560492 | Stephen Richard Branam | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2005-12-22 |
| 1437575834 | Specialty Dental Partners of Ohio Inc | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2014-03-10 |
| 1588952683 | Laura Jeane Westover | Dentist | 3140 Dustin Rd, Suite 3, Oregon, OH 43616-4341 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931911 | Rachel I Rosen, Dds LLC | Dentist | 9964 Vail Dr Ste 1, Twinsburg, OH 44087-2972 | 2020-10-30 |
| 1861014334 | Page Pediatric Dentistry | Dentist | 5699 Innovation Dr, Dublin, OH 43016-3312 | 2020-05-07 |
| 1629602412 | Tuka N/a Sada | Dentist | 9601 Chester Ave Rm 284-h, Cleveland, OH 44106-1666 | 2020-03-02 |
| 1992336093 | Al Saad Dental LLC | Dentist | 7250 Center St Ste C, Mentor, OH 44060-4920 | 2020-01-28 |
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1790338168 | Corbin Salthouse | Dentist | 13390 Cedar Rd, Cleveland Heights, OH 44118-2955 | 2019-07-24 |
| 1588223929 | Amber Sun | Dentist | 11100 Euclid Ave # Rb&c1200, Cleveland, OH 44106-1716 | 2019-06-10 |
| 1710546437 | Kyle R. Jackson, Dds, LLC | Dentist | 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440-3253 | 2019-06-06 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 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.