The Grove Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE GROVE DENTAL

Practice address

510 E Whiteaker Ave
Cottage Grove, OR 97424-1648

Phone

(541) 492-1687

Fax

(541) 418-4311

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Rebecca Lynn Adamson

Title

Regional Manager

Phone

(971) 261-9539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1114606787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E WHITEAKER AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241648",
            "telephone_number": "541-492-1687",
            "fax_number": "541-418-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "971-261-9539"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Cottage Grove, OR
• Providers in Cottage Grove, 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 12, 2023; 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.