SOUTHSIDE DENTAL PC - NPI 1235314667

Q: What is Southside Dental PC's NPI number?

The NPI number for Southside Dental PC is 1235314667. It was assigned to this organization in the NPPES registry on January 3, 2008.

Q: What is Southside Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Southside Dental Pc NPPES

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

SOUTHSIDE DENTAL PC (NPI 1235314667) is a healthcare organization registered as a dentist in Salem, Oregon and active in the NPI registry since January 2008. The organization lists Jennifer P. Owens, Doctor, as its authorized official.

NPPES Registry Identity

NPI1235314667

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTHSIDE DENTAL PC

Location Address3460 LIBERTY RD SSalem, OR 97302-4607

Mailing Address3460 Liberty Rd SSalem, OR 97302-4607 · (503) 763-9797 · Fax (503) 763-9779

Phone(503) 763-9797

Fax(503) 763-9779

Organization SubpartNo

Authorized OfficialJennifer P. OwensDoctor · (503) 763-9797

Enumeration DateJanuary 3, 2008

✔ NPI 1235314667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D7830

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3460 LIBERTY RD S, Salem, OR 97302

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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 5

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

JACQUELINE D CUNNINGHAM RDH

Dental Hygienist