OREGON ENDODONTIC GROUP NPI 1366793192

Dentist (Endodontics) in Lake Oswego, OR

NPI 1366793192 Organization Dentist Endodontics

About OREGON ENDODONTIC GROUP

Oregon Endodontic Group is a provider established in Lake Oswego, Oregon specializing in dentist (endodontics) . The NPI number of Oregon Endodontic Group is 1366793192 and was assigned on September 2012. The practitioner's primary taxonomy code is 1223E0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Oregon Endodontic Group operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Leila Tarsa (Owner)

A dentist like Oregon Endodontic Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1366793192

Provider NameOREGON ENDODONTIC GROUP
Provider Location Address320 A AVE LAKE OSWEGO, OR 97034
Provider Mailing Address320 A AVE LAKE OSWEGO, OR 97034
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-19-2012
Last Update Date09-19-2012


Primary Taxonomy

Taxonomy Code1223E0200X
ClassificationDentist
TypeDental Providers
SpecializationEndodontics
Taxonomy DescriptionThe 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.

Business Address

OREGON ENDODONTIC GROUP
320 A AVE
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-3383
Fax: (503) 635-8632

Get Directions


Mailing Address

OREGON ENDODONTIC GROUP
320 A AVE
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-3383
Fax: (503) 635-8632



Authorized Official

Authorized Official Name LEILA TARSA
Authorized Official TitleOWNER
Authorized Official Phone(503) 636-3383

Group Taxonomy


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

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902803984DR. JEFFREY B VANORMAN DMD
Individual
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1255339669DR. LYNN J STRAND D.M.D.
Individual
Dentist (Endodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1659320117 J DOUGLAS STAHL O.D.
Individual
Optometrist320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-2762
1003015496DR. KENNETH BYRON WILTBANK D.M.D.
Individual
Dentist320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1407897200DR JEFFREY B VAN ORMAN
Organization
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1629095526ROBERT H. WOOLF, DDS, PC
Organization
Dentist (Periodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 635-3584

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.