CENTRAL DENTAL MONMOUTH LLC (NPI# 1700350493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700350493 |
| Entity Type | Organization |
| Organization Name | CENTRAL DENTAL MONMOUTH LLC |
| Practice Address |
120 Atwater St N Monmouth OR 97361-1801 |
| Mailing Address |
2825 Willetta St Sw Albany OR 97321-3846 |
| Practice Telephone | 5038382988 |
| Mailing Telephone | 5419282301 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | GEOFFREY BERG (OWNER) |
| Authorized Official Telephone | 5419282301 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTRAL DENTAL MONMOUTH LLC | 120 Atwater St N, Monmouth, OR 97361 |
| Street Address |
120 ATWATER ST N |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617138 | Michelle Hasbrook Dmd PC | Dentist | 120 Atwater St N, Monmouth, OR 97361-1801 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| Find all providers in zip 97361 | ||||
| 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 |
|---|---|---|---|---|
| 1679196190 | Members Plus Dental | Dentist | 156 Catron St N, Monmouth, OR 97361-2303 | 2020-05-19 |
| 1316048903 | Allan Melvin Solden | Dentist | 730 Carol Ave, Monmouth, NJ 07712 | 2006-09-26 |
| 1033131636 | Steven Kent Murmann | Dentist | 66 Public Sq, Monmouth, IL 61462-1756 | 2006-07-24 |
| 1083605257 | Sid C Smith | Dentist | 119 E Clinton Ave, Monmouth, IL 61462-5710 | 2005-11-04 |
| 1275821027 | Adam Edward Sanberg | Dentist | 225 S 1st St, Monmouth, IL 61462-2201 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1790390060 | Tyler Joseph Craven | Dentist | 4515 Se Harrison St, Milwaukie, OR 97222-5221 | 2020-09-13 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1801400684 | Michael Carreon | Dentist | 1332 Sw Highland Ave, Redmond, OR 97756-2640 | 2020-08-31 |
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1619504164 | Anna Nicole Gerlach | Dentist | 1915 Ne Baker St, Mcminnville, OR 97128-2601 | 2020-03-25 |
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| 1538707294 | Lake Oswego Modern Dentistry, PC | Dentist | 4823 Meadows Rd Ste 131, Lake Oswego, OR 97035-2622 | 2019-12-12 |
| Find all providers with the same taxonomy | ||||
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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.