TYLER PETERSCHMIDT (NPI# 1871901371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871901371 |
| Entity Type | Individual |
| Full Name | TYLER PETERSCHMIDT |
| Credential | DMD |
| Practice Address |
4120 Quest Dr Eugene OR 97402-8768 |
| Mailing Address |
850 Bobolink Ave Eugene OR 97404-1512 |
| Practice Telephone | 5416887278 |
| Practice Fax Number | 5413346604 |
| Mailing Telephone | 5419054116 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10097 | OR | Dental Providers |
| Street Address |
4120 QUEST DR |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-8768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740320464 | Dr. Henry Quest D.m.d. PC | Dentist | 4120 Quest Dr, Eugene, OR 97402-8768 | 2007-02-08 |
| 1285197830 | Lassen Dental LLC | Dentist | 4120 Quest Dr, Eugene, OR 97402-8768 | 2019-04-10 |
| 1750811485 | Steffen Niels Lassen | Dentist | 4120 Quest Dr, Eugene, OR 97402-8768 | 2017-06-15 |
| 1972646586 | Kenneth M. Shou | Dentist | 4120 Quest Dr, Eugene, OR 97402-8768 | 2007-02-14 |
| 1265572978 | Henry Quest | Dentist | 4120 Quest Dr, Eugene, OR 97402-8768 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362470 | Scott G Baker | Dentist | 2455 York St, Eugene, OR 97404-1955 | 2018-10-22 |
| 1477031532 | Timothy Lee | Dentist | 1680 Chambers St Ste 205, Eugene, OR 97402-3655 | 2018-08-01 |
| 1598250987 | Harmeet Kaur | Dentist | 2377 Oakmont Way # B, Eugene, OR 97401-6459 | 2018-06-27 |
| 1972024552 | Erik Jenson | Dentist | 1814 Coburg Rd Ste 2, Eugene, OR 97401-4986 | 2017-07-04 |
| 1255718086 | Arrow Dental LLC | Dentist | 890 Seneca Rd Ste 100, Eugene, OR 97402-6900 | 2015-04-30 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1386960805 | Elizabeth A. Vivona Dow | Dentist | 4750 Village Plaza Loop Ste 200, Eugene, OR 97401-6607 | 2010-04-08 |
| 1487886073 | Mulford Family Dentistry | Dentist | 622 E. 22nd Avenue, Bldg G, Eugene, OR 97405 | 2009-08-14 |
| 1669633483 | Amy Rebecca Mcdaniel | Dentist | 622 E 22nd Ave Ste A, Eugene, OR 97405-2989 | 2008-06-24 |
| 1558558973 | Robert Glen Rust Jr. | Dentist | 358 E 40th Ave, Eugene, OR 97405-3404 | 2007-09-30 |
| Find all providers in EUGENE | ||||
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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.