ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC (NPI# 1699908475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699908475 |
| Entity Type | Organization |
| Organization Name | ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC |
| Practice Address |
460 Murphy Road Medford OR 97504 |
| Practice Telephone | 5417760050 |
| Practice Fax Number | 5417760062 |
| Mailing Telephone | 5417760050 |
| Mailing Fax Number | 5417760062 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | DR. MICHAEL J. DOHERTY (SURGEON/PRESIDENT) |
| Authorized Official Telephone | 5417760050 |
| Authorized Official Credential | DDS, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
D9230 | OR | Ambulatory Health Care Facilities |
| Street Address |
460 MURPHY ROAD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634418 | Michael J Doherty | Dentist | 460 Murphy Road, Medford, OR 97504 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861665390 | Armory Dental Implant & Oral Surgery | Clinic/Center | 92 High St, Dh26, Medford, MA 02155-3850 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275040404 | Oral and Facial Surgery | Clinic/Center | 6125 Ne Cornell Rd Ste 320, Hillsboro, OR 97124-5417 | 2018-01-09 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1811149297 | Dennis D. Johnson Dmd PC | Clinic/Center | 410 Lancaster Dr Ne Ste A, Salem, OR 97301-4794 | 2008-10-16 |
| 1285744573 | Todd A Schock PC Dmd Md | Clinic/Center | 1893 Ne Neff Rd, Bend, OR 97701-6112 | 2006-08-30 |
| 1386901734 | Mid-valley Oral, Maxillofacial & Implant Surgery | Clinic/Center | 1565 Liberty St Se, Salem, OR 97302-4345 | 2012-04-23 |
| 1316243660 | Gerald Alan Harper, Dds, PC | Clinic/Center | 2650 Suzanne Way, Suite 110, Eugene, OR 97408-7319 | 2011-02-03 |
| 1811121932 | Beaverton Oral Surgeons | Clinic/Center | 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97006-4166 | 2009-05-04 |
Please comment or provide details below to improve the information on ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, 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.