LANE COMMUNITY COLLEGE DENTAL CLINIC
NPI 1033539663
Dentist - Dental Public Health in Eugene, OR

Q: What is Lane Community College Dental Clinic's NPI number?

The NPI number for Lane Community College Dental Clinic is 1033539663. It was assigned to this organization in the NPPES registry on April 22, 2014.

Q: What is Lane Community College Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Active since April 22, 2014

2460 WILLAMETTE ST, EUGENE, OR 97405(541) 463-5206(541) 463-4178 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lane Community College Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANE COMMUNITY COLLEGE DENTAL CLINIC (NPI 1033539663) is a healthcare organization registered as a dental public health in Eugene, Oregon and active in the NPI registry since April 2014. The organization lists Sheryl Berman, Dean Of Health Professions, Lcc, as its authorized official.

NPPES Registry Identity

NPI1033539663

Entity TypeOrganization

Primary Taxonomy1223D0001X

Legal Business NameLANE COMMUNITY COLLEGE DENTAL CLINIC

Location Address2460 WILLAMETTE STEugene, OR 97405-3169

Mailing Address4000 E 30th Ave, Division Of Health Professions, Building 30Eugene, OR 97405-0640 · (541) 463-5618 · Fax (541) 463-4167

Phone(541) 463-5206

Fax(541) 463-4178

Organization SubpartYesParent: Lane Community College

Authorized OfficialSheryl BermanDean Of Health Professions, Lcc · (541) 463-5618

Enumeration DateApril 22, 2014

✔ NPI 1033539663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in OR · D5275

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

2460 WILLAMETTE ST, Eugene, OR 97405

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARISA ANSARI

Dentist