Sea Brite Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6439 Issued in OR

Legal business name

SEA BRITE DENTAL PC

Practice address

10609 S Walton Rd
Island City, OR 97850-8488

Phone

(541) 963-2741

Fax

(541) 963-7439

NPI assigned

Jul 19, 2005

Last updated

Aug 22, 2020By 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

Mrs. Cynthia A Morris, DMDNPI 1477719607

Title

Doctor Owner

Phone

(541) 963-2741

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia A Morris, D.M.D.

  • Dentist
  • Island City, OR
  • NPI 1477719607
  NPD (past) Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063411437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 S WALTON RD",
            "city": "ISLAND CITY",
            "state": "OR",
            "postal_code": "978508488",
            "telephone_number": "541-963-2741",
            "fax_number": "541-963-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 S WALTON RD",
            "city": "ISLAND CITY",
            "state": "OR",
            "postal_code": "978508488",
            "telephone_number": "541-963-2741",
            "fax_number": "541-963-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BRITE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "541-963-2741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Arlene Ledridge, RN
• Cynthia A Morris, D.M.D.
• Michko Namper
• Pacific Northwest Renal Services, L.L.C. (PNRS Eastern Oregon Dialysis Clinic)
• Kaley Patterson, LMT
• Ihab Wagdi Amin Tadros
• Walmart Inc. (Walmart Pharmacy 10-1889)

• General Practice Dentistry in Island City, OR
• Providers in Island City, 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 22, 2020; 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.