Midland Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDLAND DENTAL LLC

Practice address

1244 SE 122ND Ave
Portland, OR 97233-1202

Phone

(503) 252-8338

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Hadi Nouredine, DMD

Title

Owner

Phone

(503) 252-8338

Specialties & licenses 1

Addresses

Other names 1

• Midland Family Dentistry Doing business as

Locations

Practitioners 1

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

• Natalia V. Duvalko, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1730275231
  NPD (past)

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1801396593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331202",
            "telephone_number": "503-252-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331202",
            "telephone_number": "503-252-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "NOUREDINE",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-252-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Middleton, RN, MSN
• Emily Middleton, D.C.
• Jeremy Talmadge Middleton, R.N.
• Samantha Middleton
• Craig Aaron Midgen, M.D.
• Midland Family Dentistry
• Midland Family Dentistry PC
• Oleander Midnight
• Midori Ferris Wayne Psychotherapy LLC
• Midstream

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Feb 19, 2018; 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.