Active NPI
Bruce P. Mitchell, DMD, PC
- General Practice Dentistry
- Medford, OR
National Provider Identifier
1669293551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BRUCE P. MITCHELL, DMD, PC
- Doing business as
- Bruce Mitchell Family Dentistry
- Practice address
- 3560 National Dr Ste 102
Medford, OR 97504-4008 - Phone
- (541) 773-3959
- NPI assigned
- Oct 23, 2024
- 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
- Bella Zaritsky
- Title
- Director
- Phone
- (480) 482-1070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3560 National Dr Ste 102
Medford, OR 97504-4008
Mailing address
3560 National Dr Ste 102
Medford, OR 97504-4008
Phone (541) 773-3959
Other names 1
- Bruce Mitchell Family Dentistry
National Provider Directory
National Provider DirectoryLocations
3560 National Dr
Ste 102
Medford, OR 97504
Phone (541) 773-3959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1669293551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 NATIONAL DR STE 102",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044008",
"telephone_number": "541-773-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 NATIONAL DR STE 102",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044008",
"telephone_number": "541-773-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE P. MITCHELL, DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "ZARITSKY",
"authorized_official_first_name": "BELLA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-482-1070"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bruce Mitchell Family Dentistry",
"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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.