Village Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7429 Issued in OR

Legal business name

VILLAGE DENTAL

Practice address

29174 SW Town Center Loop W
201
Wilsonville, OR 97070-9306

Phone

(503) 582-8255

Fax

(503) 582-9355

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yan Z Gardner, DDS

Title

Dentist

Phone

(503) 582-8255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1538434014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W",
            "address_2": "201",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709306",
            "telephone_number": "503-582-8255",
            "fax_number": "503-582-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W",
            "address_2": "201",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709306",
            "telephone_number": "503-582-8255",
            "fax_number": "503-582-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "YAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-582-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Vandyke
• Bonnie Vaniea
• Benjamin Vega
• Kayla Victor, DPT
• Cassandra Vallejo Vielma, PHARMD STUDENT
• Villebois Dental, LLC
• Visionworks, Inc.
• Lindsay Vogler
• Paula R Voorhis, PTA, CKTP
• Aimee Votaw

• General Practice Dentistry in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.