PNW Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PNW DENTAL LLC

Practice address

1814 Coburg Rd Ste 2
Eugene, OR 97401-4986

Phone

(541) 342-3398

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Susan N Watkins, DDSNPI 1386710390

Title

Owner/Dentist

Phone

(541) 603-6696

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Susan Watkins

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1386710390
  NPD Authorized official
• Darrel Joe Jenson, DMD

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1225185440
  NPD (past)
• Erik Jenson, DMD

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1972024552
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1265907364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 COBURG RD STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014986",
            "telephone_number": "541-342-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 COBURG RD STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014986",
            "telephone_number": "541-342-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-603-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Plaunty, MS, CCC-SLP
• Plaza de Nuestra Comunidad
• Anna Marie Plumlee
• Kevin John Plummer, D.C.
• Pneu-Med, Inc.
• Pnwcounseling LLC
• Abagail Louise Poelstra, MSW
• Melea Lynn Poffenberger, LMT
• Staesha Alana Pogue-Dempsey
• John D Polansky, M.D.

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.