Pure Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

D7830 Issued in OR

Legal business name

PURE DENTAL PC

Practice address

3470 Pipebend PL NE Ste 110
Salem, OR 97301-1741

Phone

(503) 580-6077

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Owens, D.D.S

Title

Owner/President/Dentist

Phone

(503) 580-6077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1871907139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 PIPEBEND PL NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011741",
            "telephone_number": "503-580-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 PIPEBEND PL NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011741",
            "telephone_number": "503-580-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "503-580-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatianna Pugmire, QMHA
• Kelly Pullin
• David Pungercar
• Amber M Purdy, PHARMD
• Frances Purdy
• Pure Health Medical Clinic
• Pure Life Counseling, LLC
• Pure Massage & Spa LLC
• Pure Massage LLC
• Isaac Pureco

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.