Organization Active NPI

Precision Denture Inc

  • Dental Laboratory
  • Medford, OR
National Provider Identifier
1669067187
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
Legal business name
PRECISION DENTURE INC
Doing business as
Court Street Denture
Practice address
1055 Court St Ste a
Medford, OR 97501-5727
Phone
(541) 500-1894
Fax
(541) 500-1066
NPI assigned
Mar 5, 2021
Organization subpart
Yes
Parent organization
PRECISION DENTURE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Edward Eplett, LICENSED DENTURISTNPI 1225243363
Title
Owner
Phone
(541) 500-1894

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)CodeLicenseStatePrimary
Dental Laboratory 292200000X Primary

Addresses

Primary practice location

1055 Court St Ste a
Medford, OR 97501-5727

Mailing address

1055 Court St Ste a
Medford, OR 97501-5727
Phone (541) 500-1894

Other names 1

  • Court Street Denture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Precision Denture Inc2 organizations share this tax ID, including this one
Part of
Precision Denture Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1055 Court St
Ste A
Medford, OR 97501
Phone (541) 500-1894

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1669067187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 COURT ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015727",
            "telephone_number": "541-500-1894",
            "fax_number": "541-500-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 COURT ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015727",
            "telephone_number": "541-500-1894",
            "fax_number": "541-500-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTURE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION DENTURE INC",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "EPLETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-500-1894",
        "authorized_official_credential": "LICENSED DENTURIST"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Court Street Denture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.