TROY MICHAEL HEISCH (NPI# 1508352931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508352931 |
| Entity Type | Individual |
| Full Name | TROY MICHAEL HEISCH |
| Credential | DDS |
| Practice Address |
142 Pembrook St Se Salem OR 97302 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10849 | OR | Dental Providers |
| Street Address |
142 PEMBROOK ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003941170 | Jefferson B Gourley | Dentist | 142 Pembrook St Se, Salem, OR 97302-5038 | 2007-02-22 |
| 1508389586 | Leif Joseph Gambee | Dentist | 142 Pembrook St Se, Salem, OR 97302-5038 | 2017-07-20 |
| 1194248427 | Emmy Cristina Garcia | Dentist | 142 Pembrook St Se, Salem, OR 97302-5038 | 2017-07-19 |
| 1134675580 | Natalija Kokoreva | Dentist | 142 Pembrook St Se, Salem, OR 97302 | 2016-08-26 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537665 | My Smile Experience P.C. | Dentist | 99 Rockingham Park Blvd # W111b, Salem, NH 03079-2900 | 2020-01-09 |
| 1861047532 | Kathy Trinh | Dentist | 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 | 2019-08-08 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1730684937 | Eva Chiu | Dentist | 142a Canal St, Salem, MA 01970-4650 | 2018-03-28 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1942652557 | Karin Arsenault | Dentist | 32 Stiles Rd Ste 208, Salem, NH 03079-2894 | 2016-07-07 |
| 1811391527 | Hala Mahmod | Dentist | 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 | 2014-10-09 |
| 1871907139 | Pure Dental PC | Dentist | 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 | 2014-06-16 |
| 1669811071 | Stephanie Nicole Vlahos | Dentist | 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 | 2013-06-19 |
| 1568705168 | Alfred Joseph Sotera | Dentist | 12 Stiles Road, Suite 206, Salem, NH 03079-2881 | 2013-04-02 |
| 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.