ADC DENTAL CLINIC, INC (NPI# 1760420467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420467 |
| Entity Type | Organization |
| Organization Name | ADC DENTAL CLINIC, INC |
| Other Organization Name | ASTORIA DENTURE CLINIC |
| Practice Address |
720 Bennett Ave Medford OR 97504-6722 |
| Practice Telephone | 5417728280 |
| Practice Fax Number | 5417347771 |
| Mailing Telephone | 5417728280 |
| Mailing Fax Number | 5417347771 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BECKY L EPLETT (OFFICE MANAGER) |
| Authorized Official Telephone | 5417728280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122400000X | Denturist | DT-DO849475 | OR | Dental Providers |
| X | 122300000X | Dentist | D8035 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Astoria Denture Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADC DENTAL CLINIC, INC. | 720 Bennett Ave, Medford, OR 97504 |
| Street Address |
720 BENNETT AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017374 | Joshua Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2019-01-24 |
| 1609211440 | Precision Denture Inc | Dental Laboratory | 720 Bennett Ave, Medford, OR 97504-6722 | 2013-05-07 |
| 1982859328 | Marlan Morse | Dentist | 720 Bennett Ave, Medford, OR 97504-6722 | 2008-11-26 |
| 1396999744 | Gary Lewellyn | Dentist | 720 Bennett Ave, Medford, OR 97504-6722 | 2008-11-12 |
| 1225243363 | Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 1558576603 | Teresa Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 1497960561 | Bongmin An | Dentist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 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 | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070218 | Western Denture Center Inc. | Denturist | 1055 Court St, Medford, OR 97501-5727 | 2006-08-16 |
| 1477017374 | Joshua Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2019-01-24 |
| 1730679168 | Travis C. Briseno | Denturist | 773 Golf View Dr, Medford, OR 97504 | 2018-05-10 |
| 1477083145 | Erin M Watkins | Denturist | 1113 Progress Dr, Medford, OR 97504 | 2017-06-15 |
| 1225243363 | Edward Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 1558576603 | Teresa Eplett | Denturist | 720 Bennett Ave, Medford, OR 97504-6722 | 2007-05-11 |
| 1518074673 | David Russell Dahl | Denturist | 1055 Court St, Medford, OR 97501-5727 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576341 | Madeline M Cain | Denturist | 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 | 2020-04-02 |
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
| 1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
| 1770083172 | Valley Denture Care LLC | Denturist | 535 N 5th St, Jacksonville, OR 97530-9704 | 2018-02-13 |
| 1407364177 | Joseph Rider | Denturist | 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 | 2018-01-16 |
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 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.