Premiercare Dental Centers LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8410 Issued in OR

Legal business name

PREMIERCARE DENTAL CENTERS LLC

Practice address

590 Washington St
Ashland, OR 97520-1682

Phone

(360) 280-4343

NPI assigned

Aug 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradford Loeffler Frank

Title

Owner/Manager

Phone

(360) 280-4343

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1003122789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "360-280-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERCARE DENTAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "LOEFFLER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-280-4343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn J Potts Metzker, LPC
• Cindy Lynn Powell, M.P.T.
• Jaime Danielle Powell, LMT
• Nathaniel Mentor Powell
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• General Practice Dentistry in Ashland, OR
• Providers in Ashland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.