SAYIJ MAKKATTIL (NPI# 1891186839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891186839 |
| Entity Type | Individual |
| Full Name | SAYIJ MAKKATTIL |
| Credential | MDS, MDS |
| Practice Address |
620 12th St Se Salem OR 97301-4001 |
| Mailing Address |
620 12th Street Se Salem OR 97301 |
| Practice Telephone | 5039915921 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D10169 | OR | Dental Providers |
| Street Address |
620 12TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659408276 | Creekside Family Dental PC | Dentist | 620 12th St Se, Salem, OR 97301-4001 | 2007-02-28 |
| 1912107871 | Tuong Nguyen | Dentist | 620 12th St Se, Salem, OR 97301-4001 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548671340 | Polaris Dental Specialists | Dentist | 620 12th Street Se, Salem, OR 97301 | 2014-05-14 |
| 1467683276 | Sunny L Drake | Dentist | 2235 Mission St Se Ste 250, Salem, OR 97302-1294 | 2009-07-29 |
| 1861610719 | Helyne Naomi Hamelburg | Dentist | 142 Canal St, Salem, MA 01970-4673 | 2007-04-23 |
| 1073730297 | Paradise Dental Associates, LLC | Dentist | 142a Canal Street, Salem, MA 01970 | 2007-04-19 |
| 1568589117 | Alvin Rosen | Dentist | 21 North St, Salem, MA 01970-3957 | 2007-03-26 |
| 1275628729 | Charles J Burliss | Dentist | 12 Stiles Rd, Suite 203, Salem, NH 03079 | 2006-10-03 |
| 1821074964 | Philip R O'neill | Dentist | 1 Manor Pkwy, Salem, NH 03079-2832 | 2005-12-20 |
| 1932106226 | John H. Seifert | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2005-07-01 |
| 1780105304 | Andres R Kaindl Dds | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2017-07-05 |
| 1609300268 | Andres Raul Kaindl | Dentist | 2605 12th Pl Se, Salem, OR 97302-2576 | 2017-04-20 |
| Find all providers in SALEM | ||||
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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.