Monroe Avenue Dental

Primary specialty

DentistTaxonomy code 122300000X

License

D9001 Issued in OR

Legal business name

MONROE AVENUE DENTAL

Practice address

853 NW Monroe Ave
Corvallis, OR 97330-6352

Phone

(503) 998-4872

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Benny Damian

Title

Dentist

Phone

(503) 998-4872

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1306114657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306352",
            "telephone_number": "503-998-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE AVENUE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "DAMIAN",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-998-4872",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Moling, MA
• John J Molitor Jr., MD
• Gabrielle Monaco, BS
• Shannon Mong, PSY.D.
• Monroe Ave Dental Care
• Elizabeth A. Monson, C.R.N.P.
• Kimberly D. Montagne, FNP
• Frank Leon Montes Jr.
• Megan Montes
• Jesus Montiel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.