A ELITE DENTAL, INC


Address: 3502 Excel Dr, #101, Medford, OR 97504-9136
Phone: 5416901656

A ELITE DENTAL, INC (NPI# 1578003901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578003901
Entity Type Organization
Organization Name A ELITE DENTAL, INC
Practice Address 3502 Excel Dr
#101
Medford
OR 97504-9136
Practice Telephone 5416901656
Practice Fax Number 5416901658
Mailing Telephone 5416901656
Mailing Fax Number 5416901658
Enumeration Date 2017-03-04
Last Update Date 2017-03-04
Authorized Official Name TAE KYUNG JUNG (PRESIDENT)
Authorized Official Telephone 5416901656
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
1657387-9 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 240506 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names A ELITE DENTAL, INC 1234 Riverside Ave Ste #101, Medford, OR 97501

Office Location

Street Address 3502 EXCEL DR
#101
City MEDFORD
State OR
Zip Code 97504-9136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366537078 Tae Kyung Jung Dentist 3502 Excel Dr, #1, Medford, OR 97504-9136 2006-10-04

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609400035 Medford Family Dental Care Clinic/Center 101 Main St Ste 220, Medford, MA 02155-4530 2020-02-25
1689229171 42 North Dental Care, LLC Clinic/Center 23 Riverside Ave, Medford, MA 02155-4605 2019-08-02
1104478619 David A Allen Dds Clinic/Center 1059 Royal Ave, Medford, OR 97504-6127 2019-07-15
1174073043 Creekside Family Dental Clinic/Center 1234 N Riverside Ave, Medford, OR 97501-4619 2016-10-04
1487005914 Gio Dental At Station Landing Clinic/Center 8 Earhart Lndg, Medford, MA 02155-4964 2016-06-27
1962640771 Jacob O. Layer, Dmd, PC Clinic/Center 1485 E Mcandrews Rd, Medford, OR 97504-6107 2009-02-02
1801074000 First Dental, PC Clinic/Center 366 Salem St, Medford, MA 02155-3307 2008-02-11
1588848055 Southern Oregon Periodontics, PC Clinic/Center 1762 E Mcandrews Rd Ste B, Medford, OR 97504-5577 2007-12-20
1326537143 Jacob J Foutz Dmd, LLC Clinic/Center 806 E Jackson St, Medford, OR 97504-6773 2018-05-07
1497101430 South Jersey Dental Sleep Center LLC Clinic/Center 76 N Main St, Medford, NJ 08055-2720 2016-05-09
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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