DILLE DENTAL, PLLC (NPI# 1952749335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952749335 |
| Entity Type | Organization |
| Organization Name | DILLE DENTAL, PLLC |
| Practice Address |
90 S Superior Street Cambridge ID 83610 |
| Mailing Address |
Po Box 369 Cambridge ID 83610-0369 |
| Practice Telephone | 2082574522 |
| Practice Fax Number | 2082574523 |
| Mailing Telephone | 2082574522 |
| Mailing Fax Number | 2082574523 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | BRYAN J DILLE (OWNER/DENTIST) |
| Authorized Official Telephone | 2085491732 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | DILLE DENTAL, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D4240 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508204983 | Dille Dental, Pllc | Dentist | 513 E Main St, Weiser, ID 83672-2225 | 2013-06-07 |
| Street Address |
90 S SUPERIOR STREET |
| City | CAMBRIDGE |
| State | ID |
| Zip Code | 83610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998395 | Linsey Sunderland | Physical Therapy Assistant | 1224 8th Street, Suite A, Rupert, ID 83610 | 2016-08-30 |
| 1386015691 | Cambridge School District | Local Education Agency (LEA) | 40 N Fourth Street, Cambridge, ID 83610 | 2015-10-13 |
| 1114292000 | Two Rivers Family & Cosmetic Dentistry | Dentist | 90 S Superior, Cambridge, ID 83610 | 2012-03-12 |
| 1235343542 | Colleen E Gardner | Counselor | 425 S. Whitley Dr., Suite #2, Fruitland, ID 83610 | 2007-05-09 |
| 1104978535 | Cambridge Volunteer Fire Dept Inc | Ambulance | 30 Superior St., Cambridge, ID 83610 | 2007-01-17 |
| 1174757793 | Stacey Ann Ertel | Mechanotherapist | 3054 Goodrich Rd, Cambridge, ID 83610-5134 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538269 | Jolene Potter | Physical Therapist | 32 Prospect St, Cambridge, MA 02139-2401 | 2020-11-05 |
| 1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
| 1730788324 | Debra Merle Baker | Massage Therapist | 10 Holworthy Pl, Cambridge, MA 02138-4510 | 2020-10-23 |
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1669070389 | Theresa Howe | Registered Nurse | 148 Gore St, Cambridge, MA 02141-1135 | 2020-10-14 |
| 1659979615 | Ruth Carter | Homemaker | 9808 Ohio Ave, Cambridge, OH 43725-9313 | 2020-10-13 |
| 1982202032 | Makayla Davis | Social Worker | 43 Kinnaird St, Cambridge, MA 02139-3127 | 2020-10-12 |
| 1225636558 | Agnprx LLC | Nurse Practitioner | 5543 Bonnie Brook Rd, Cambridge, MD 21613-3437 | 2020-10-09 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| Find all providers in CAMBRIDGE | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998068 | Asif Ebrahim Rangoonwala | Dentist | 287 Harvard St Apt 37, Cambridge, MA 02139-2366 | 2020-09-30 |
| 1912569799 | Zachary Marc Hutchins | Dentist | 1596 2nd Ave Ne Ste A, Cambridge, MN 55008-8069 | 2019-07-02 |
| 1902327026 | Andy Sungmin Lee | Dentist | 10 Museum Way Apt 928, Cambridge, MA 02141-1894 | 2017-06-28 |
| 1821461823 | Jingfeng Xie | Dentist | 575 Mount Auburn St Ste B104, Cambridge, MA 02138-4656 | 2015-11-12 |
| 1750762548 | Armando Pardo | Dentist | 24 Peabody Terrace, Ap1602, Cambridge, MA 02138 | 2015-06-17 |
| 1437561560 | Dmitry Grigory Merzon | Dentist | 1751 Massachusetts Ave Fl 1, Cambridge, MA 02140-2218 | 2014-05-23 |
| 1689010530 | Jennifer Joy Zysk | Dentist | 77 Hurley St, Cambridge, MA 02141-2134 | 2013-05-20 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1982956991 | Hyun M. Bae | Dentist | 406 Lecompte St, Cambridge, MD 21613-2437 | 2012-10-15 |
| 1316205651 | Meredith Barr Todd | Dentist | 402 Muse St, Cambridge, MD 21613-1823 | 2012-04-24 |
| Find all providers in CAMBRIDGE | ||||
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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.