McMinnville Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7797 Issued in OR

Legal business name

MCMINNVILLE DENTAL GROUP

Practice address

2550 NE McDonald LN
McMinnville, OR 97128-2223

Phone

(503) 472-2181

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Laura Marcoullier, DMD

Title

Dentist

Phone

(503) 472-2181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1194083428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282223",
            "telephone_number": "503-472-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282223",
            "telephone_number": "503-472-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "MARCOULLIER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-472-2181",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Wayne McLoud II
• Russell Sheldon McMillen III
• Angelia Christine McMillin, PA-C
• McMinnville Chiropractic Clinic
• McMinnville Chiropractic Clinic LLC
• McMinnville Ear Nose & Throat
• McMinnville Eye Clinic PC
• McMinnville Fire District
• McMinnville Foot & Ankle Associates LLC
• McMinnville Foot and Ankle Specialists, P.C.

• General Practice Dentistry in McMinnville, OR
• Providers in McMinnville, 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 Apr 24, 2012; 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.