DR. ROSE GREYSLAK (NPI# 1962801084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962801084 |
| Entity Type | Individual |
| Full Name | DR. ROSE GREYSLAK |
| Other Name | DR. ROSE VAUGHAN |
| Credential | D.M.D. |
| Practice Address |
300 Tatone Boardman OR 97818-9999 |
| Mailing Address |
442 Sw Umatilla Ave Ste 200 Redmond OR 97756-7039 |
| Practice Telephone | 8884680022 |
| Practice Fax Number | 5415043907 |
| Mailing Telephone | 5415043900 |
| Mailing Fax Number | 5415043907 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10104 | OR | Dental Providers |
| Street Address |
300 TATONE |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1831741958 | Advantage Dental Group, PC | Dentist | 300 Tatone, Boardman, OR 97818 | 2019-07-09 |
| 1578810404 | Tyler Bendixsen | Dentist | 300 Tatone, Boardman, OR 97818 | 2012-08-09 |
| 1770861791 | Jeremy Larson | Dentist | 300 Tatone, Boardman, OR 97818 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| 1346300159 | Boardman Hardware Inc | Pharmacy | 202 N.w. First, Boardman, OR 97818 | 2006-12-11 |
| Find all providers in zip 97818 | ||||
| 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 |
|---|---|---|---|---|
| 1467646240 | Robert Carl Johnson Jr. | Dentist | 7260 West Blvd, Bldg. G, Boardman, OH 44512-7334 | 2007-09-05 |
| 1033277546 | Johanna Santos Nogay | Dentist | 930 Boardman Poland Rd, Allcare Dental Rt 224, Boardman, OH 44512 | 2006-12-05 |
| 1013002989 | Phil J Snyder | Dentist | 250 Debartolo Place, Suite 1610, Boardman, OH 44512 | 2006-10-04 |
| 1518068964 | John Douglas Beal | Dentist | 810 Boardman Canfield Rd, Boardman, OH 44512 | 2006-09-26 |
| 1811093545 | David A Wyatt, Dds, Lls | Dentist | 99 Debartolo Pl, Boardman, OH 44512 | 2006-09-16 |
| 1285665869 | John Vincent Craig IIi | Dentist | 7240 Glenwood Ave, Boardman, OH 44512 | 2006-07-05 |
| 1356395768 | Donald A Dechellis Dds Inc | Dentist | 60 Marwood Circle, Boardman, OH 44512 | 2006-05-20 |
| 1700835840 | Edwina L Burke | Dentist | 755 Boardman-canfield Road Unit L2, Boardman, OH 44512 | 2006-05-08 |
| 1235109604 | Dr. Dellagatta & Associates (southern Park), Inc. | Dentist | 930 Boardman-poland Road, Boardman, OH 44512 | 2006-01-26 |
| 1114338738 | Wisdom D Akpaka | Dentist | 930 Boardman Poland Rd, Boardman, OH 44512-5117 | 2014-05-16 |
| Find all providers in BOARDMAN | ||||
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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.