DAVID RUSSELL DAHL (NPI# 1518074673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518074673 |
| Entity Type | Individual |
| Full Name | DAVID RUSSELL DAHL |
| Credential | L.D. |
| Practice Address |
1055 Court St Medford OR 97501-5727 |
| Practice Telephone | 5417733551 |
| Practice Fax Number | 5417764911 |
| Mailing Telephone | 5417733551 |
| Mailing Fax Number | 5417764911 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DT-DO-237679 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622713 | David Dahl | Physical Therapist | 6618 64th St Ne Ste D, Marysville, WA 98270-4883 | 2016-07-12 |
| 1841516937 | David Ernest Dahl | Anesthesiology | 101 Medtech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2010-04-14 |
| 1114183555 | David Nicholas Dahl | Family Medicine | 600 S State Road 57, Ste A, Washington, IN 47501-4371 | 2008-08-05 |
| 1407061997 | David I Dahl | Dentist | 11650 Us Highway 380 Ste 100, Crossroads, TX 76227-8329 | 2007-05-10 |
| 1124141031 | David Frederick Dahl | Clinical Neuropsychologist | 2542 S Bascom Ave, Ste 265, Campbell, CA 95008-5565 | 2007-04-06 |
| 1275616039 | David Glenn Dahl | Chiropractor | 406 Main St, Cold Spring, MN 56320-2324 | 2006-10-23 |
| 1780777029 | David Carl Dahl | Emergency Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-10-01 |
| 1801833074 | David C Dahl | Internal Medicine | 701 Park Ave, S5, Minneapolis, MN 55415-1623 | 2006-05-31 |
| Street Address |
1055 COURT ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070218 | Western Denture Center Inc. | Denturist | 1055 Court St, Medford, OR 97501-5727 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070218 | Western Denture Center Inc. | Denturist | 1055 Court St, Medford, OR 97501-5727 | 2006-08-16 |
| 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 |
| 1730679168 | Travis C. Briseno | Denturist | 773 Golf View Dr, Medford, OR 97504 | 2018-05-10 |
| 1477083145 | Erin M Watkins | Denturist | 1113 Progress Dr, Medford, OR 97504 | 2017-06-15 |
| 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 |
|---|---|---|---|---|
| 1316576341 | Madeline M Cain | Denturist | 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 | 2020-04-02 |
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
| 1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
| 1770083172 | Valley Denture Care LLC | Denturist | 535 N 5th St, Jacksonville, OR 97530-9704 | 2018-02-13 |
| 1407364177 | Joseph Rider | Denturist | 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 | 2018-01-16 |
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 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.