St. Helens Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-7183 AND D-8075 Issued in OR

Legal business name

ST. HELENS DENTAL CARE

Practice address

575 S Columbia River Hwy
St Helens, OR 97051-2835

Phone

(503) 397-3326

Fax

(503) 397-1150

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Wayde Bryant Elliott, D.M.DNPI 1114121654

Title

Manager

Phone

(503) 397-3326

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.

• Wayde Bryant Elliott, DMD

  • General Practice Dentistry
  • Saint Helens, OR
  • NPI 1114121654

  General Practice

  NPD (past) Authorized official
• Jeffrey Douglas Grim, DDS

  • General Practice Dentistry
  • Saint Helens, OR
  • NPI 1225232754

  General Practice

  NPD (past)
• Jennifer Paulson, RDH

  • Dental Hygienist
  • Saint Helens, OR
  • NPI 1578117214
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285633248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S COLUMBIA RIVER HWY",
            "city": "ST HELENS",
            "state": "OR",
            "postal_code": "970512835",
            "telephone_number": "503-397-3326",
            "fax_number": "503-397-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S COLUMBIA RIVER HWY",
            "city": "ST HELENS",
            "state": "OR",
            "postal_code": "970512835",
            "telephone_number": "503-397-3326",
            "fax_number": "503-397-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. HELENS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WAYDE",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-397-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D-7183 AND D-8075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talisha Ann Sowvlen
• Patrick Nicholas Speake
• Jordan Javon Spino
• Spring Meadows
• Kathleen Spurling, FNP-C
• Brooke Leigh Stafford, BS
• Clare Stanfield, MSW, QMHA I
• Stano Chiropractic
• Deborah Josephine Stano, D.C.
• Brandy Lynn Stansbury Beehler, QMHA

• All providers in St Helens, OR
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.