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EAST MAIN DENTAL CENTER LLP NPI 1700819596


NPI Information

NPI: 1700819596
Provider Name: EAST MAIN DENTAL CENTER, LLP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1123 E MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 773-3422
Get Directions

EAST MAIN DENTAL CENTER, LLP is a general practice dentist in Medford, OR. The provider is 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. EAST MAIN DENTAL CENTER, LLP NPI is 1700819596. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1123 E MAIN ST
MEDFORD, OR
ZIP 97504-434
Phone: (541) 773-3422
Fax: (541) 779-2250

The provider's authorized official is Tonya Lynn Sowles .
The authorized official title is Office Manager and has the following contact phone number (541) 773-3422.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD8765OREGONNo
21223G0001XDentistGeneral Practice5563OREGONNo
31223G0001XDentistGeneral Practice6025OREGONNo
41223G0001XDentistGeneral PracticeD6735OREGONNo
51223G0001XDentistGeneral PracticeD6571OREGONNo
61223G0001XDentistGeneral PracticeD7789OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
128445-5OTHEROREGONOMAP PROVIDER NUMBER
221816-4OTHEROREGONOMAP PROVIDER
322707-2OTHEROREGONOMAP PROVIDER NUMBER
404407-3OTHEROREGONOMAP PROVIDER NUMBER
508594-9OTHEROREGONOMAP PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.