Lancaster Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANCASTER DENTAL, LLC

Practice address

1640 Lancaster Dr NE
Salem, OR 97301-1922

Phone

(503) 364-9422

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Geoffrey Berg, DMD

Title

Owner

Phone

(541) 928-2301

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Adair, D.D.S.

  • Dentist
  • Salem, OR
  • NPI 1609287143
  NPD (past)
• Bruce William Boer, DDS

  • General Practice Dentistry
  • Salem, OR
  • NPI 1104856020
  NPD (past)
• Cory M Smith, DMD

  • General Practice Dentistry
  • Salem, OR
  • NPI 1528258910
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1225375207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WILLETTA ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213846",
            "telephone_number": "541-928-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011922",
            "telephone_number": "503-364-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-928-2301",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lambert, LCSW
• Lamont Rehabilitation LLC
• Cody Levi Lamont
• Debra Lynne Lamp, MA LPC
• Nii O Lamptey Jr., PA-C
• Lancaster Medical Clinic
• Jacquelyn C Lancour, CADC-R
• Jack Montana Lander, MA, LPC INTERN
• Karen Ann Landers, MD, MPH
• John Landis, CCC-SLP

• General Practice Dentistry in Salem, OR
• Providers in Salem, 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 Jan 10, 2013; 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.