DANE E. SMITH DDS PC (NPI# 1861591679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861591679 |
| Entity Type | Organization |
| Organization Name | DANE E. SMITH DDS PC |
| Practice Address |
565 5th St Brookings OR 97415-9702 |
| Mailing Address |
3500 Cedar St North Bend OR 97459-1108 |
| Practice Telephone | 5414695373 |
| Practice Fax Number | 5414120177 |
| Mailing Telephone | 5417563683 |
| Mailing Fax Number | 5417561974 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANE E SMITH (OWNER) |
| Authorized Official Telephone | 5417563683 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D4773 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164848 | 05 | |
| OR | DENTAL LICENSE # | D4773 | 01 |
| Street Address |
565 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801906615 | Dane E Smith | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-08-30 |
| 1457884934 | Brookings Dental Group, LLC | Dentist | 565 5th St, 2, Brookings, OR 97415-9724 | 2017-04-11 |
| 1316360795 | Devin Leslie | Physical Therapist | 565 5th St, Brookings, OR 97415-9724 | 2014-01-21 |
| 1871936211 | Brendan Robert Boucher | Physical Therapist | 565 5th St, Brookings, OR 97415-9724 | 2013-04-16 |
| 1679817845 | Shirley Garmin Cheung | Dentist | 565 5th St, Brookings, OR 97415-9724 | 2012-11-12 |
| 1811144215 | Barbara Lynn Woodcock | Physical Therapy Assistant | 565 5th St, Brookings, OR 97415-9724 | 2008-08-27 |
| 1114063518 | William D Morrell | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2007-01-30 |
| 1649352113 | Marlin M Montgomery | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1801906615 | Dane E Smith | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
| 1417385857 | Northwest Oral and Maxillofacial Surgeons | Dentist | 24850 Se Stark St Ste 100, Gresham, OR 97030-8317 | 2013-10-22 |
| 1457699142 | Bryan Christopher Williams | Dentist | 330 S Garden Way Ste 140, Eugene, OR 97401 | 2013-01-30 |
| 1689932063 | Garrett Welch | Dentist | 1475 Sw Chandler Ave Ste 101, Bend, OR 97702 | 2012-04-24 |
| 1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
| 1770887648 | Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC | Dentist | 911 Main St Ste 180, Oregon City, OR 97045-1870 | 2011-01-06 |
| 1710291265 | Auzins Warrenton LLC | Dentist | 65 N Highway 101 Ste C, Warrenton, OR 97146-9313 | 2010-07-27 |
| 1932411303 | Normund Karl Auzins Dds | Dentist | 1725 Saint Helens St, Saint Helens, OR 97051-1744 | 2010-07-13 |
| 1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
| 1700012010 | Dylan S Spendal | Dentist | 5025 Ne Elam Young Pkwy, Suite 100, Hillsboro, OR 97124-6403 | 2009-06-02 |
| 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.