Organization Active NPI

Advantage Dental

  • Dentist
  • Vancouver, WA
National Provider Identifier
1790173482
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10172 Issued in OR
Legal business name
ADVANTAGE DENTAL
Practice address
908 Grove St
Vancouver, WA 98661-4834
Phone
(503) 701-3111
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Emily Christine Jones, DMD
Title
Dentist
Phone
(503) 701-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10172 OR Primary

Addresses

Primary practice location

908 Grove St
Vancouver, WA 98661-4834

Mailing address

908 Grove St
Vancouver, WA 98661-4834

National Provider Directory

National Provider Directory
Tax ID family
Rosita'119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1790173482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 GROVE ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 GROVE ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614834",
            "telephone_number": "503-701-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-701-3111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.