| Oregon Oral And Implant Surgeons P.c. | |
|
330 S Garden Way Suite 140 Eugene OR 97401-8176 | |
| (541) 686-9750 | |
| (541) 485-5034 |
| Full Name | Oregon Oral And Implant Surgeons P.c. |
|---|---|
| Speciality | Dentist |
| Location | 330 S Garden Way, Eugene, Oregon |
| Authorized Official Name and Position | Diana D Sheffield (PRACTICE MANAGER) |
| Authorized Official Contact | 5416869750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Oral And Implant Surgeons P.c. 330 S Garden Way Suite 140 Eugene OR 97401-8176 Ph: (541) 686-9750 | Oregon Oral And Implant Surgeons P.c. 330 S Garden Way Suite 140 Eugene OR 97401-8176 Ph: (541) 686-9750 |
| NPI Number | 1447271655 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 9537054580 |
|---|---|
| Medicare Enrollment ID | O20040218000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447271655 | NPI | - | NPPES |
| 062682 | Medicaid | OR | |
| CN7173 | Other | OR | PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Todd Tucker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619981859 PECOS PAC ID: 2668504135 Enrollment ID: I20100723000193 |
| Provider Name | Brian Allender |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386667434 PECOS PAC ID: 0941295745 Enrollment ID: I20100723000219 |
| Provider Name | Bryan Christopher Williams |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457699142 PECOS PAC ID: 3577795541 Enrollment ID: I20190827001798 |
Wellness Centered Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4725 Village Plaza Loop Ste 101, Eugene, OR 97401 Phone: 541-868-2008 Fax: 541-868-2009 | |
Carly M. Peterschmidt, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 E 22nd Avenue, Suite A, Eugene, OR 97408 Phone: 541-687-2343 Fax: 541-505-9258 | |
Katrina J Drew, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 748 Goodpasture Island Road, Eugene, OR 97401 Phone: 541-686-2446 Fax: 541-686-3055 | |
Derek James Bevans Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Country Club Rd, Eugene, OR 97401 Phone: 541-686-1199 Fax: 541-686-3033 | |
Lane Community College Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2460 Willamette St, Eugene, OR 97405 Phone: 541-463-5206 Fax: 541-463-4178 | |
West Coast Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 W 8th Ave, Eugene, OR 97401 Phone: 541-343-1124 | |
Valley River Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Executive Pkwy Ste 310, Eugene, OR 97401 Phone: 541-485-4646 Fax: 541-431-4542 |