Royal Dental Care P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7750 Issued in OR

Legal business name

ROYAL DENTAL CARE P C

Practice address

710 East First Street
Newberg, OR 97132

Phone

(503) 554-6414

Fax

(503) 554-5700

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marco Antonio Gutierrez, DDSNPI 1902876691

Title

President

Phone

(503) 554-6714

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marco A Gutierrez, D.D.S.

  • General Practice Dentistry
  • Newberg, OR
  • NPI 1902876691
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1972683712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 EAST FIRST STREET",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-554-6414",
            "fax_number": "503-554-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EAST FIRST STREET",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-554-6414",
            "fax_number": "503-554-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DENTAL CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-554-6714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Rose-Parks
• Buster Ross, M.A., CADC II, LPC-I
• Anna Louise Rossi, D.C.
• Marc Alan Rott
• Jessica Rowe
• Shelby Nichole Rubino, MAQMHP
• Casey James Rucker, MD
• Britny Cristina Ruilova Tellez
• Lois B Ruiz, LMT
• Ryan David Martin

• General Practice Dentistry in Newberg, OR
• Providers in Newberg, 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 Nov 10, 2016; 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.