Southern Oregon Denture & Dental

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHERN OREGON DENTURE & DENTAL

Practice address

41 Hawthorne St
Medford, OR 97504-7113

Phone

(541) 282-7653

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Debbie K Schroeder

Title

Owner

Phone

(541) 282-7653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1629428248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047113",
            "telephone_number": "541-282-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047113",
            "telephone_number": "541-282-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON DENTURE & DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-282-7653"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Audiology, Inc.
• Southern Oregon Behavioral Wellness Center
• Southern Oregon Cardiology LLC
• Southern Oregon Childrens Clinic
• Southern Oregon Chiropractic, LLC
• Southern Oregon Direct Primary Care LLC
• Southern Oregon Ear Nose & Throat P C
• Southern Oregon Education Service District
• Southern Oregon Education Service District
• Southern Oregon Education Service District

• Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.