Lincoln City Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LINCOLN CITY FAMILY DENTAL LLC

Practice address

1120 SE 1St St
Lincoln City, OR 97367-2803

Phone

(541) 994-8935

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Dana Matlock, DDSNPI 1356756001

Title

President

Phone

(361) 645-9652

Specialties & licenses 1

Addresses

Other names 1

• Lincoln City Family Dental Doing business as

Locations

Practitioners 2

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

• Dana Matlock, D.D.S

  • Dentist
  • Newport, OR
  • NPI 1356756001
  NPD Authorized official
• Paul M. Jensen, DMD

  • General Practice Dentistry
  • Lincoln City, OR
  • NPI 1225178700
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1346831096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 SW ARBOR DR",
            "city": "SOUTH BEACH",
            "state": "OR",
            "postal_code": "973669660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SE 1ST ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672803",
            "telephone_number": "541-994-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CITY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-645-9652",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln City Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Anne Leblanc, LPC
• Jin S Lee, RPH
• Mark J Lee, MA,
• Sloane Lehrman, PHARM. D.
• Lincare Inc.
• Lincoln City Immediate Care
• Lincoln City Medical Center, PC
• Lincoln City Pharmacy & Gifts
• Lincoln City Physical Therapy, LLC
• Lincoln City, LLC

• Dentist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.