Rogue River Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8365 Issued in OR

Legal business name

ROGUE RIVER ENDODONTICS

Practice address

1004 Ramsey Ave
Grants Pass, OR 97527-5816

Phone

(541) 471-9392

Fax

(541) 471-9481

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Allen Dryden, D.D.S.NPI 1881786176

Title

President

Phone

(541) 471-9392

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Allen Dryden, D.D.S.

  • Endodontics
  • Grants Pass, OR
  • NPI 1881786176
  NPD (past) Authorized official
• David Borota, DDS

  • Endodontics
  • Grants Pass, OR
  • NPI 1073135711
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477645794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275816",
            "telephone_number": "541-471-9392",
            "fax_number": "541-471-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275816",
            "telephone_number": "541-471-9392",
            "fax_number": "541-471-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE RIVER ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRYDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-471-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogue Birth Center LLC
• Rogue Dental Sleep Solutions LLC
• Rogue Family Eye Care
• Rogue Healing Collective
• Rogue River Denture Service
• Rogue River Healthcare LLC (Riverside Hospice)
• Rogue River Healthcare LLC (Riverside Home Health Care)
• Rogue Valley Acupuncture, LLC
• Rogue Valley Ear, Nose, Throat & Facial Plastics PC
• Rogue Valley Family Dentistry LLC

• Dental Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Dental Clinic/Center 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.