MILL CREEK DENTAL, INC. (NPI# 1497823546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497823546 |
| Entity Type | Organization |
| Organization Name | MILL CREEK DENTAL, INC. |
| Practice Address |
521 N 1st Ave Stayton OR 97383-1703 |
| Practice Telephone | 5037699699 |
| Practice Fax Number | 5037698599 |
| Mailing Telephone | 5037699699 |
| Mailing Fax Number | 5037698599 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TIMOTHY WILLLIAM BURNS (PRESIDENT) |
| Authorized Official Telephone | 5037699699 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6854 | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MILL CREEK DENTAL, INC. | 521 N 1st Ave, Stayton, OR 97383 |
| Street Address |
521 N 1ST AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467463141 | Thomas Melvin Bell | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-08-10 |
| 1194335307 | Dar Yoon | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2020-08-03 |
| 1831752823 | Craig S Ward | Denturist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2019-04-16 |
| 1225445596 | Aaron Baird | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2014-07-17 |
| 1477624732 | Richard Wolfgang Davenport | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831221936 | David Bruce Thompson | Dentist | 151 W Washington St, Stayton, OR 97383-1635 | 2007-03-12 |
| 1467463141 | Thomas Melvin Bell | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-08-10 |
| 1760488977 | Daren Lane Goin | Dentist | 505 N 2nd Ave, Stayton, OR 97383-1715 | 2005-06-22 |
| 1194335307 | Dar Yoon | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2020-08-03 |
| 1124440417 | Jeff Van Kirk, Dmd, PC | Dentist | 450 E Washington St, Stayton, OR 97383-1837 | 2014-01-06 |
| 1871789131 | Daren L. Goin, Dmd, PC | Dentist | 505 N 2nd Ave, Stayton, OR 97383-1715 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| 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.