BONGMIN AN (NPI# 1497960561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497960561 |
| Entity Type | Individual |
| Full Name | BONGMIN AN |
| Credential | DDS |
| Practice Address |
720 Bennett Ave Medford OR 97504-6722 |
| Practice Telephone | 5417728280 |
| Practice Fax Number | 5417347771 |
| Mailing Telephone | 5417728280 |
| Mailing Fax Number | 5417347771 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8035 | OR | Dental Providers |
| Street Address |
720 BENNETT AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760420467 | Adc Dental Clinic, Inc | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2006-06-03 |
| 1477017374 | Joshua Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2019-01-24 |
| 1609211440 | Precision Denture Inc | Dental Laboratory | 720 Bennett Ave, Medford, OR 97504-6722 | 2013-05-07 |
| 1982859328 | Marlan Morse | Dentist | 720 Bennett Ave, Medford, OR 97504-6722 | 2008-11-26 |
| 1396999744 | Gary Lewellyn | Dentist | 720 Bennett Ave, Medford, OR 97504-6722 | 2008-11-12 |
| 1225243363 | Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 1558576603 | Teresa Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1598306490 | Element Family Dental | Dentist | 3860 Mystic Valley Pkwy, Unit B, Medford, MA 02155-5029 | 2019-10-01 |
| 1477119477 | Yu Wang | Dentist | 3620 Mystic Valley Pkwy Apt E209, Medford, MA 02155-5765 | 2019-05-15 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1003320854 | Thompson Dental Associates PC | Dentist | 690 Fellsway, Medford, MA 02155-4901 | 2017-11-30 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1053849943 | Joshua W Doyle | Dentist | 915 Casement Ct, Medford, WI 54451-1204 | 2017-05-23 |
| 1851833131 | Northwest Dental Associates -medford LLC | Dentist | 3551 E Barnett Rd, Suite 101, Medford, OR 97504-7037 | 2016-11-17 |
| 1184074882 | Snoring and Sleep Apnea Care LLC | Dentist | Zero Governors Ave 20-21, Medford, MA 02155-3025 | 2016-06-14 |
| 1487039186 | Benjamin Woolnough | Dentist | 366 Salem Street, Medford, MA 02155 | 2015-07-22 |
| 1275913329 | Trevor Peterson | Dentist | 4411 Brownridge Terrace, Medford, OR 97504 | 2015-06-04 |
| Find all providers in MEDFORD | ||||
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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.