Tillamook Denture Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DT-DO-10125318 Issued in OR

Legal business name

TILLAMOOK DENTURE CLINIC

Practice address

2505 Main Ave N
Tillamook, OR 97141-9225

Phone

(503) 354-2050

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Margareta Hanikyrova-Borland, DD.LD.

Title

Owner-Denturist

Phone

(503) 354-2050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1154747426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN AVE N",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419225",
            "telephone_number": "503-354-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MAIN AVE N",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419225",
            "telephone_number": "503-354-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK DENTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "HANIKYROVA-BORLAND",
        "authorized_official_first_name": "MARGARETA",
        "authorized_official_title_or_position": "OWNER-DENTURIST",
        "authorized_official_telephone_number": "503-354-2050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DD.LD."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "DT-DO-10125318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thompson Mainstay LLC
• Tiffani a. Long DDS
• Tillamook Chiropractic Incorporated
• Tillamook County Public Health
• Tillamook County Transportation District
• Tillamook Dialysis Center, LLC
• Tillamook Family Counseling Center
• Tillamook Family Counseling Center
• Tillamook Kidney Center LLC
• Tillamook Medical Associates Lab

• Dental Clinic/Center in Tillamook, OR
• Providers in Tillamook, 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 Mar 11, 2014; 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.