Molalla Family Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9142 Issued in OR

Legal business name

MOLALLA FAMILY DENTAL, PC

Practice address

128 Ross St
Molalla, OR 97038-9390

Phone

(503) 829-7677

NPI assigned

Jul 29, 2008

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Christopher McNeil, D.M.D.

Title

President

Phone

(503) 829-7677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1023274198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROSS ST",
            "address_2": "PO BOX 390",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970389390",
            "telephone_number": "503-829-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROSS ST",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970389390",
            "telephone_number": "503-829-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLALLA FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-829-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J.P. Melby, DMD
• Michelle Katherine Michaels, OTD, OTR/L
• Michaela Ann Miller, BEHAVIOR TECHNICIAN
• Molalla Chiropractic & Naturopathic Clinic P.C.
• Molalla Dental Clinic P.C.
• Molalla Medical Clinic
• Molalla River School District
• Molalla Rural Fire Protection District 73
• Molalla Vision Clinic PC
• Lacee L Muffett, RPH

• Dental Clinic/Center in Molalla, OR
• Providers in Molalla, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.