EQUITY DENTAL CLINIC, PC - NPI 1558190033

Q: What is Equity Dental Clinic, PC's NPI number?

The NPI number for Equity Dental Clinic, PC is 1558190033. It was assigned to this organization in the NPPES registry on July 31, 2024.

Q: What is Equity Dental Clinic, PC's specialty?

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

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About Equity Dental Clinic, Pc NPPES

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

EQUITY DENTAL CLINIC, PC (NPI 1558190033) is a healthcare organization registered as a dentist in Brookings, Oregon and active in the NPI registry since July 2024. The organization lists Mike Shirtcliff, President, as its authorized official.

NPPES Registry Identity

NPI1558190033

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameEQUITY DENTAL CLINIC, PC

Location Address648 CHETCO AVEBrookings, OR 97415-8010

Mailing AddressPo Box 1748Redmond, OR 97756-0518 · (541) 216-4469 · Fax (541) 216-4725

Phone(541) 216-4469

Fax(541) 216-4725

Organization SubpartNo

Authorized OfficialMike ShirtcliffPresident · (541) 680-9028

Enumeration DateJuly 31, 2024

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1558190033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

648 CHETCO AVE, Brookings, OR 97415

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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 9

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

MARIA ISABEL VALDEZ CHW

Community Health Worker