DR. JARED C FRISBIE-TEEL (NPI# 1972768984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972768984 |
| Entity Type | Individual |
| Full Name | DR. JARED C FRISBIE-TEEL |
| Credential | DDS |
| Practice Address |
10102 Ne Glisan St Portland OR 97220-4456 |
| Mailing Address |
0720 Sw Gaines St Unit 211 Portland OR 97239-4650 |
| Practice Telephone | 5032575959 |
| Mailing Telephone | 6462665427 |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2009-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22D102363700 | NJ | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D9327 | OR | Dental Providers |
| Street Address |
10102 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177934 | David M. Teeter | Dentist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2006-05-04 |
| 1093328726 | Leah Dixon | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2020-08-24 |
| 1871155358 | Sarah Nicole Bulkley | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-07-03 |
| 1477026466 | Bethany Kay Wynn | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-01-02 |
| 1255821575 | Yian Jan Huddleston | Dental Hygienist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-05-11 |
| 1144718040 | Diana Ngoc Dang | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-04-25 |
| 1689176026 | Marina N Globak | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-03-01 |
| 1629577580 | Denyl Elizabeth Decker | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-02-06 |
| 1356879183 | Anneda May Ormae | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| 1194253971 | Alexis Nichole Kikes | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1780868687 | Dental Specialists of Portland | Dentist | 1355 Congress St, Suite A, Portland, ME 04102-2160 | 2007-12-27 |
| 1811197601 | Dental Specialists of Maine, LLC | Dentist | 1355 Congress St Ste A, Portland, ME 04102-2137 | 2007-07-20 |
| 1437365889 | Jason A Garlock | Dentist | 276 Canco Road, Granite Heights, Portland, ME 04103 | 2007-05-15 |
| 1346467404 | Tony Bassili | Dentist | 11982 Ne Glisan St, Portland, OR 97220-2143 | 2007-04-19 |
| 1427029503 | Brooks Bradley Horan | Dentist | 405 Se 133rd Ave, Portland, OR 97233-1809 | 2006-01-27 |
| 1497749881 | Scott W Edgar | Dentist | 1020 Ne 2nd Ave, #320, Portland, OR 97232-2064 | 2005-08-31 |
| 1053312595 | Danielle Paige Wingrove | Dentist | 2730 Sw Moody Ave # 5n032, Portland, OR 97201 | 2005-08-09 |
| Find all providers in PORTLAND | ||||
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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.