SMILES ON 9TH LLC (NPI# 1598247868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598247868 |
| Entity Type | Organization |
| Organization Name | SMILES ON 9TH LLC |
| Practice Address |
903 9th Ave Sw Albany OR 97321-2420 |
| Mailing Address |
2825 Willetta St Sw Albany OR 97321-3846 |
| Practice Telephone | 5419264039 |
| Mailing Telephone | 5419794811 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | GEOFFREY BERG (OWNER/DOCTOR) |
| Authorized Official Telephone | 5419282301 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SMILES ON 9TH LLC | 903 9th Ave Sw, Albany, OR 97321 |
| Street Address |
903 9TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997810 | Walter Manning | Dentist | 903 9th Ave Sw, Albany, OR 97321-2420 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1427108273 | Robert C. Schwegler, Dds Pa | Clinic/Center | 421 Railroad Ave, Albany, MN 56307-0808 | 2007-01-12 |
| 1174132013 | Sepand H Hokmabadi Dds Inc | Clinic/Center | 1396 Solano Ave, Albany, CA 94706-1832 | 2020-07-27 |
| 1356793533 | Southland Children's Dentistry | Clinic/Center | 2301 Lullwater Rd, Albany, GA 31707-3180 | 2016-07-12 |
| 1841543402 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2607 Gillionville Rd, Albany, GA 31707-3003 | 2012-10-19 |
| 1376828244 | Ramtin Nassiri, Dds, Msd, A Prof Corp | Clinic/Center | 1183 Solano Ave, Albany, CA 94706-1637 | 2011-10-11 |
| 1578795894 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1412 W Oakridge Dr, Albany, GA 31707-5307 | 2009-08-20 |
| 1962621466 | Gaetano Gialanella Pllc | Clinic/Center | 523 Western Ave, Albany, NY 12203-1617 | 2007-04-24 |
| 1629175831 | Group Health Incorporated | Clinic/Center | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| 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.