Or Specialty Dental Services LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

OR SPECIALTY DENTAL SERVICES LLC

Practice address

250 Church St SE Ste 102
Salem, OR 97301-3758

Phone

(503) 581-1999

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

James M Eyre Jr., DMD

Title

Owner of Entity

Phone

(503) 580-6099

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Or Specialty Dental Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Or Specialty Dental Services LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1508606302
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Or Specialty Dental Services LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1508606302
  NPPES parent name

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1053066894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST STE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192226",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHURCH ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013758",
            "telephone_number": "503-581-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OR SPECIALTY DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "EYRE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "503-580-6099",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Church St SE Ste 102",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973013758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.