ALLISON CAROL BROYLES (NPI# 1669603338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669603338 |
| Entity Type | Individual |
| Full Name | ALLISON CAROL BROYLES |
| Credential | DMD, MS |
| Practice Address |
611 Sw Campus Dr # 19 Portland OR 97239-3001 |
| Practice Telephone | 5034944316 |
| Practice Fax Number | 5034948384 |
| Mailing Telephone | 5034944316 |
| Mailing Fax Number | 5034948384 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D8688 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282016 | Allison Broyles | Counselor | 301 S Rogers St Ste 202, Waxahachie, TX 75165-3348 | 2020-07-10 |
| Street Address |
611 SW CAMPUS DR # 19 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684301 | Halmos & Manning LLC | Dentist | 11790 Sw Barnes Rd Ste 260, Portland, OR 97225-5935 | 2017-12-04 |
| 1144741570 | Wyatt John Traina | Dentist | 131 Johnson Rd Ste 4, Portland, ME 04102-1988 | 2017-07-06 |
| 1730540949 | Nader Rassouli PC | Dentist | 5440 Sw Westgate Dr Ste 360, Portland, OR 97221-2446 | 2016-03-15 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1619180007 | Pacific Dental Institute | Dentist | 12750 Sw 68th Ave, Portland, OR 97223-8596 | 2007-05-08 |
| 1598863292 | Leon Kirk Gardner | Dentist | 3710 Sw Us Veteran Hosptial Rd, Portland, OR 97239 | 2006-09-20 |
| 1760494587 | Sameh El-ebrashi | Dentist | 2075 Sw 1st Avenue, Suite 2m, Portland, OR 97201 | 2006-08-12 |
| 1831113646 | David Russell Hill | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2006-07-26 |
| 1821628504 | Yueh-ling Chao | Dentist | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-01-22 |
| 1255809810 | Carlos Alberto Jurado | Dentist | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2018-11-12 |
| Find all providers in PORTLAND | ||||
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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.