DR. SAMUEL GREGORY BENANTI (NPI# 1972600955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972600955 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL GREGORY BENANTI |
| Credential | DMD |
| Practice Address |
805 Ivy Ave Ste B Tillamook OR 97141-3758 |
| Mailing Address |
Po Box 489 Tillamook OR 97141-0489 |
| Practice Telephone | 5038422356 |
| Practice Fax Number | 5038152636 |
| Mailing Telephone | 5038423900 |
| Mailing Fax Number | 5038423903 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10631 | OR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7339 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8000 William G Penny Lane, Louisville, KY 40219 | 5029692396 | 5029696901 |
| 913 A St, Myrtle Point, OR 974581334 | 6299995006 |
| Street Address |
805 IVY AVE STE B |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544935 | Dentalcare LLC | Clinic/Center | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-10-06 |
| 1972110336 | Alicia Kay Holiman | Dental Hygienist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-09-29 |
| 1417568668 | County of Tillamook | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| 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 |
|---|---|---|---|---|
| 1073723953 | Lee C Long | Dentist | 1503 3rd St, Tillamook, OR 97141-3409 | 2007-05-22 |
| 1437375789 | Julia Anne Robirds | Dentist | 805 Ivy Ave, Tillamook, OR 97141-3758 | 2007-04-17 |
| 1275676785 | Jin Mo Ahn | Dentist | 2503 Main Ave N, Tillamook, OR 97141-9208 | 2007-02-14 |
| 1700978301 | Edgar Kam Shiroma | Dentist | 2110 9th St Ste B, Tillamook, OR 97141-3950 | 2006-09-29 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1881693851 | Brett Jess Hestmark | Dentist | 1115 Main Ave, Tillamook, OR 97141-3819 | 2005-07-20 |
| 1326697822 | Tysa Judd | Dentist | 1010 Main Ave, Tillamook, OR 97141-3818 | 2019-09-06 |
| 1992284012 | Tyrel James Finmor | Dentist | 1115 Main Ave, Tillamook, OR 97141-3819 | 2018-08-09 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1679097448 | Benjamin Zike | Dentist | 1103 3rd St, Tillamook, OR 97141 | 2017-08-02 |
| Find all providers in TILLAMOOK | ||||
Please comment or provide details below to improve the information on DR. SAMUEL GREGORY BENANTI.
| 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.