Carlton Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARLTON DENTAL, LLC

Practice address

133 E Main St
Carlton, OR 97111

Phone

(503) 852-7147

NPI assigned

May 20, 2015

Organization subpart

Yes

Parent organization

NORTHWEST DENTAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Bryant Zollinger, DDS

Title

Owner/Dentist

Phone

(503) 860-6083

Specialties & licenses 1

Addresses

Part of

Northwest Dental Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Dental Group, LLC

  • Dentist
  • Hillsboro, OR
  • NPI 1093194052
  NPPES parent name

Practitioners 2

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

• Jacqueline Gambee

  • Dentist
  • Carlton, OR
  • NPI 1134573843
  NPD (past)
• Mark A. Miller, DMD

  • General Practice Dentistry
  • Carlton, OR
  • NPI 1518966423
  NPD (past)

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1275912560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "97111",
            "telephone_number": "503-852-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST DENTAL GROUP, LLC",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ZOLLINGER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-860-6083",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia J Baxter
• Kaleb Anthony Baynes
• Sarah Asenath Call
• Carlton Dental
• Carlton Wellness Studio LLC
• Jeremiah W Cook, LMT
• Jillian M Crossgrove, BSM, CPM, LDM
• Jacqueline Gambee
• Jennifer Kelley

• General Practice Dentistry in Carlton, OR
• Providers in Carlton, 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 May 20, 2015; 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.