VALLEY ENDODONTICS (NPI# 1760997803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760997803 |
| Entity Type | Organization |
| Organization Name | VALLEY ENDODONTICS |
| Practice Address |
2350 Nw Century Dr Ste 200 Corvallis OR 97330-3495 |
| Practice Telephone | 5417680419 |
| Practice Fax Number | 5417680521 |
| Mailing Telephone | 5417680419 |
| Mailing Fax Number | 5417680521 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | DR. BRIAN LEE WILSON (PRESIDENT) |
| Authorized Official Telephone | 5417680419 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | VALLEY ENDODONTICS | 2211 Nw Professional Dr, Ste 203, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | VALLEY ENDODONTICS & IMPLANT SURGERY | 2530 Nw Centry Dr Ste 200, Corvallis, OR 97330 |
| Street Address |
2350 NW CENTURY DR STE 200 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245241702 | Glen S Gerdes | Dentist | 1811 Nw Kings Blvd, Corvallis, OR 97330 | 2006-08-10 |
| 1326059874 | Russell S Yamada | Dentist | 3062 Nw Snowberry Pl, Corvallis, OR 97330-3518 | 2006-08-10 |
| 1740288034 | Brian L Wilson | Dentist | 2350 Nw Century Dr, Ste #200, Corvallis, OR 97330-3495 | 2005-07-11 |
| 1295951929 | Glen S Gerdes Dmd PC | Dentist | 1811 Nw Kings Blvd, Corvallis, OR 97330-1907 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| 1679898001 | Dennis Eli Holt | Dentist | 63269 Cherokee Ln, Bend, OR 97701-9019 | 2010-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLEY ENDODONTICS.
| 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.