Dennae Lee Sandoe, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7480 Issued in OR

Practice address

1113 Progress Dr
Medford, OR 97504-5201

Phone

(541) 512-3900

Fax

(541) 414-1175

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Clinica del Valle Family Health Care Center Inc.

  dba East Medford Dental Clinic-La Clinica

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1891061784
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1083115737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 S PACIFIC HWY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975018957",
            "telephone_number": "541-535-6239",
            "fax_number": "541-535-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 PROGRESS DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045201",
            "telephone_number": "541-512-3900",
            "fax_number": "541-414-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOE",
        "first_name": "DENNAE",
        "middle_name": "LEE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia P Sanchez
• Jere Sandefur, M.D.
• Aleksandra Simic Sander, M.D.
• Andrew August Sanders
• Morgan Louise Sanders, PHARMD.
• Loretta Sandoval, RN, CNM
• Marcia Sandoval
• Sandra L Hanson MD PC
• Clancy Sands, LMT
• Tabitha Sandu

• Dental Hygienist in Medford, OR
• Providers in Medford, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.