FUSION DENTAL SPECIALISTS (NPI# 1972906428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972906428 |
| Entity Type | Organization |
| Organization Name | FUSION DENTAL SPECIALISTS |
| Practice Address |
9300 Se 91st Ave Ste 403 Happy Valley OR 97086-3762 |
| Practice Telephone | 5036532299 |
| Practice Fax Number | 5037744154 |
| Mailing Telephone | 5036532299 |
| Mailing Fax Number | 5037744154 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | REVA BAREWAL (OWNER) |
| Authorized Official Telephone | 5036532299 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D8178 | OR | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FUSION DENTAL SPECIALISTS | 9300 Se 91st Avenue Suite 403, Happy Valley, OR 97086 |
| Street Address |
9300 SE 91ST AVE STE 403 |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689888786 | Reva M Barewal | Dentist | 9300 Se 91st Ave Ste 403, Happy Valley, OR 97086-3762 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1134777691 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 16016 Boones Ferry Rd Ste 101, Lake Oswego, OR 97035-4353 | 2019-08-28 |
| 1447757745 | Rss Dain Paxton LLC | Durable Medical Equipment & Medical Supplies | 9735 Sw Shady Ln Ste 201, Tigard, OR 97223-5481 | 2018-04-12 |
| 1003318965 | Norco Inc | Durable Medical Equipment & Medical Supplies | 2770 Sw Cedar Hills Blvd, Beaverton, OR 97005-1355 | 2018-03-06 |
| 1467967372 | Samuel J Higdon Dds PC | Durable Medical Equipment & Medical Supplies | 2250 Nw Flanders St Ste 111, Portland, OR 97210-5409 | 2017-12-14 |
| 1508396326 | Orthopedic Toe Guard | Durable Medical Equipment & Medical Supplies | 611 Ocean Ave., Po Box100, Manzanita, OR 97130-0100 | 2017-06-14 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1982136073 | Jc Medical LLC | Durable Medical Equipment & Medical Supplies | 3553 Vista Heights Ln, Eugene, OR 97405-1260 | 2017-03-29 |
| 1740654466 | Boundless Assistive Technology, LLC | Durable Medical Equipment & Medical Supplies | 7490 Sw Bridgeport Rd, Portland, OR 97224 | 2015-11-18 |
| 1275912578 | Oregon Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 8301 Se 13th Ave, Portland, OR 97202-7101 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
Please comment or provide details below to improve the information on FUSION DENTAL SPECIALISTS.
| 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.