TILLAMOOK COUNTY HEALTH DEPARTMENT - DENTAL CLINIC
NPI 1417568668
Dentist - Dental Public Health in Tillamook, OR
About Tillamook County Health Department - Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TILLAMOOK COUNTY HEALTH DEPARTMENT - DENTAL CLINIC (NPI 1417568668) is a healthcare organization registered as a dental public health in Tillamook, Oregon and active in the NPI registry since August 2020. The organization lists Marlene L Putman, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tillamook County Health Department - Dental Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Tillamook County Health Department - Dental Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is County Of Tillamook's NPI number?
The NPI number for County Of Tillamook is 1417568668. It was assigned to this organization in the NPPES registry on August 12, 2020. The provider is doing business as Tillamook County Health Department - Dental Clinic.
Where is County Of Tillamook located?
County Of Tillamook is located at 805 Ivy Ave Ste B, Tillamook, OR 97141. The listed phone number is (503) 842-3900.
What is County Of Tillamook's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.
Is County Of Tillamook enrolled in Medicare?
Yes. County Of Tillamook is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through County Of Tillamook?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to County Of Tillamook. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (2) and Clinical Social Worker (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for County Of Tillamook was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tillamook County Health Department - Dental Clinic · NPI 1417568668
Dental Public Health organization in Tillamook, Oregon. Organization record, active in the CMS NPPES registry since August 12, 2020.
## Identity
- **NPI:** 1417568668 (Entity type: Organization)
- **Enumerated:** August 12, 2020
- **Primary specialty:** Dentist - Dental Public Health · taxonomy 1223D0001X
- **Legal business name:** County Of Tillamook
- **Organization subpart:** Yes (part of County Of Tillamook)
- **Authorized official:** Marlene Putman, ADMINISTRATOR
## Practice location
- **Address:** 805 IVY AVE STE B, Tillamook, OR 97141-3758
- **Phone:** (503) 842-3900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (2), Clinical Social Worker (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
- **Other identifiers:** Medicaid 128756 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1417568668) · Data from the CMS NPPES public registry.