FAMILY DENTAL GROUP OF NEWPORT PC (NPI# 1689892465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689892465 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL GROUP OF NEWPORT PC |
| Practice Address |
123 Se Douglas St Newport OR 97365-4426 |
| Mailing Address |
123 Se Douglas St Newport OR 97365 |
| Practice Telephone | 5412654221 |
| Practice Fax Number | 5415746552 |
| Mailing Telephone | 5412654221 |
| Mailing Fax Number | 5415746552 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | DR. KENNETH MARK BUILDER (PRESIDENT) |
| Authorized Official Telephone | 5412654221 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
123 SE DOUGLAS ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885207 | Heidi Renee Romney | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2005-10-18 |
| 1891393427 | Douglas A Chadwick Dds PC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-10-15 |
| 1407489826 | Dana Matlock, Dds, LLC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-02-13 |
| 1811067382 | Douglas Alan Chadwick | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2006-11-09 |
| 1124009816 | Kenneth Mark Builder | Dentist | 123 Se Douglas St, Newport, OR 97365-4426 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1750739801 | Eric Charest | Dentist | 494 Highland Ave Ste 1, Newport, VT 05855-4919 | 2016-05-31 |
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| 1629419213 | Kelly Lynn Mckinney | Dentist | 2308 Highway 367 N Ste 300, Newport, AR 72112-2499 | 2013-07-11 |
| 1780839589 | Patti J. Mullins, Dds, Pa | Dentist | 1307 Highway 367 N, Newport, AR 72112-0279 | 2008-11-20 |
| 1912178732 | John Claude Dunning | Dentist | 148 Pavilion Pkwy, Newport, KY 41071-2884 | 2008-03-19 |
| 1154515633 | Newport Dental Group | Dentist | 22 Coitview Dr, Newport, NH 03773-1481 | 2007-08-28 |
| 1427265842 | Richard L. Mcmanus, Dmd. PC. | Dentist | 33 John Stark Hwy, Newport, NH 03773-1807 | 2007-05-16 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| 1598818528 | Daniel S. Hengst | Dentist | 24 N 2nd St, Newport, PA 17074-1501 | 2007-01-21 |
| Find all providers in NEWPORT | ||||
Please comment or provide details below to improve the information on FAMILY DENTAL GROUP OF NEWPORT PC.
| 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.