ANDY BENNION D M D M S P C (NPI# 1649534124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649534124 |
| Entity Type | Organization |
| Organization Name | ANDY BENNION D M D M S P C |
| Practice Address |
2233 Willamette St Ste A Eugene OR 97405-2890 |
| Practice Telephone | 5416871151 |
| Practice Fax Number | 5413450126 |
| Mailing Telephone | 5416871151 |
| Mailing Fax Number | 5413450126 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | DAVID ANDERSON BENNION (DOCTOR) |
| Authorized Official Telephone | 5416871151 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D7367 | OR | Dental Providers |
| Street Address |
2233 WILLAMETTE ST STE A |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144350968 | William B Delage | Dentist | 2233 Willamette St Ste A, Eugene, OR 97405-2890 | 2007-03-07 |
| 1295939593 | Leah M Hickson | Dentist | 2233 Willamette St Ste A, Eugene, OR 97405-2890 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
| 1821302639 | Dan James Floyd | Dentist | 1020 Green Acres Rd Ste 15, Eugene, OR 97408-1715 | 2010-08-04 |
| 1003093642 | Jady L Chiakowsky | Dentist | 1814 Coburg Rd Ste 1, Eugene, OR 97401-4986 | 2008-01-25 |
| 1134336688 | Dennis W Trammell, Dmd, Msd, LLC | Dentist | 2215 Willamette St Ste B, Eugene, OR 97405-2847 | 2007-05-16 |
| 1316051543 | David George Niles | Dentist | 2555 Cal Young Rd, Eugene, OR 97401-6441 | 2006-08-17 |
| 1386641447 | W. Gray Grieve | Dentist | 995 Willagillespie Rd, Suite 400, Eugene, OR 97401-2186 | 2005-07-05 |
| 1811993819 | Jedidiah R Gass Sr. | Dentist | 992 Country Club Rd, Ste 102, Eugene, OR 97401-6023 | 2005-06-23 |
| 1467900241 | Oregon Family Orthodontics LLC | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2016-09-21 |
| 1134384472 | Benita Pei-lin Wong | Dentist | 2650 Suzanne Way, Suite 170, Eugene, OR 97408-7319 | 2008-07-25 |
| 1710197728 | Benjamin R Thornton | Dentist | 1800 Valley River Dr, Suite #201, Eugene, OR 97401-6714 | 2007-05-22 |
| Find all providers in EUGENE | ||||
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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.