Active NPI
Michael T Dryden DDS PC
- Endodontics
- Eugene, OR
National Provider Identifier
1508839929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D8044
- Legal business name
- MICHAEL T DRYDEN DDS PC
- Practice address
- 911 Country Club Rd
Ste 140
Eugene, OR 97401 - Phone
- (541) 484-0470
- Fax
- (541) 484-1552
- NPI assigned
- Feb 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Thomas Dryden, DDS
- Title
- President
- Phone
- (541) 484-0470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D8044 | OR | Primary |
Addresses
Primary practice location
911 Country Club Rd
Ste 140
Eugene, OR 97401
Mailing address
911 Country Club Rd
Ste 140
Eugene, OR 97401
Phone (541) 484-0470
National Provider Directory
National Provider DirectoryLocations
911 Country Club Rd
Ste 140
Eugene, OR 97401
Phone (541) 484-0470
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Eugene, OR
- NPI 1588744809
-
- Endodontics
- Eugene, OR
- NPI 1891857462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1508839929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 COUNTRY CLUB RD",
"address_2": "STE 140",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-484-0470",
"fax_number": "541-484-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 COUNTRY CLUB RD",
"address_2": "STE 140",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-484-0470",
"fax_number": "541-484-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL T DRYDEN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "DRYDEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-484-0470",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "D8044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.