SAMANTHA RAE AYALA (NPI# 1538717186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538717186 |
| Entity Type | Individual |
| Full Name | SAMANTHA RAE AYALA |
| Credential | DMD |
| Practice Address |
1775 E Main St Cottage Grove OR 97424-2245 |
| Mailing Address |
3319 Murry Dr Eugene OR 97405-6246 |
| Practice Telephone | 5416497023 |
| Mailing Telephone | 5038814385 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11145 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386105526 | Samantha Rose Ayala | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-03-29 |
| Street Address |
1775 E MAIN ST |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439686 | Ryan Hirschi | Dentist | 1775 E Main St, Cottage Grove, OR 97424-2245 | 2015-06-13 |
| 1023408481 | Shaunna Jennings | Dental Hygienist | 1775 E Main St, Cottage Grove, OR 97424-2245 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| 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 |
|---|---|---|---|---|
| 1720647589 | Lindgren Dental Care Pllc | Dentist | 6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016-4672 | 2019-06-06 |
| 1790003416 | Excellence In Dentistry, LLC | Dentist | 226 W Cottage Grove Rd, Cottage Grove, WI 53527-9620 | 2010-05-05 |
| 1134317712 | Lisa Kathleen Amundson | Dentist | 6939 Pine Arbor Dr S, Suite A104, Cottage Grove, MN 55016-4580 | 2007-10-09 |
| 1912083205 | L Brent Bitner Dds PC | Dentist | 335 S Pacific Hwy, Cottage Grove, OR 97424-2137 | 2006-10-28 |
| 1760562607 | Donald Stanley Blair | Dentist | 2848 County Road Bb, Cottage Grove, WI 53527-8862 | 2006-10-16 |
| 1770681173 | Shannon Carol Cunningham | Dentist | 7430 80th St S, Suite 202, Cottage Grove, MN 55016-3035 | 2006-09-20 |
| 1326140377 | Douglas George Maddess | Dentist | 914 S 4th St, Cottage Grove, OR 97424-2702 | 2006-09-01 |
| 1154375327 | Diane Vavrik Crater | Dentist | 8063 Hadley Ave S, Cottage Grove, MN 55016-2652 | 2006-05-20 |
| 1447212097 | Raymond B Hadley | Dentist | 302 S 6th St, Cottage Grove, OR 97424-2111 | 2006-04-06 |
| 1174515092 | Cheryl Lindgren | Dentist | 6936 Pine Arbor Dr S, Suite 210, Cottage Grove, MN 55016-4645 | 2005-08-17 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
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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.