KLAMATH SMILES, LLC (NPI# 1669853487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669853487 |
| Entity Type | Organization |
| Organization Name | KLAMATH SMILES, LLC |
| Practice Address |
2301 Mountain View Blvd Ste D Klamath Falls OR 97601-1137 |
| Practice Telephone | 5418829039 |
| Practice Fax Number | 8664372057 |
| Mailing Telephone | 5418829039 |
| Mailing Fax Number | 8664372057 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MARK C DAVIS (OWNER) |
| Authorized Official Telephone | 5418829039 |
| Authorized Official Credential | DDS |
| 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 | KLAMATH SMILES, LLC | 2301 Mountain View Blvd, Ste D, Klamath Falls, OR 97601 |
| Street Address |
2301 MOUNTAIN VIEW BLVD STE D |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134657463 | Jacob Junior Dove | Dentist | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2017-05-31 |
| 1013399641 | Mark Davis, Dds PC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780741884 | Jeffrey A. Englestadter, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| 1427574136 | Shasta Family Dental | Clinic/Center | 2504 Shasta Way, Klamath Falls, OR 97601-4356 | 2017-08-15 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1013399641 | Mark Davis, Dds PC | Clinic/Center | 2301 Mountain View Blvd Ste D, Klamath Falls, OR 97601-1137 | 2015-06-19 |
| 1558754820 | Millard Dental LLC | Clinic/Center | 2650 Washburn Way, Ste 200, Klamath Falls, OR 97603-4596 | 2015-03-11 |
| 1932266020 | Michael C. Thomas, Dmd, PC | Clinic/Center | 2800 Foothills Blvd, Klamath Falls, OR 97603-3768 | 2007-01-02 |
| 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 | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on KLAMATH SMILES, LLC.
| 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.