EASTERN OREGON DENTAL CLINIC LLC
NPI 1609043157
Dentist - General Practice in Ontario, OR

NPI Status: Active since May 14, 2008

Contact Information

475 SW 12TH ST
ONTARIO, OR
ZIP 97914
Phone: (541) 881-1794
Fax: (541) 889-2904

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About EASTERN OREGON DENTAL CLINIC LLC

This page provides the complete NPI Profile along with additional information for Eastern Oregon Dental Clinic Llc, a provider established in Ontario, Oregon operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1609043157 assigned on May 2008. The practitioner's primary taxonomy code is 1223G0001X with license number D6574 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Eric N Dahle Dmd (Member)

NPI
1609043157
Provider Name
EASTERN OREGON DENTAL CLINIC LLC
Entity Type
Organization
Location Address
475 SW 12TH ST ONTARIO, OR 97914
Location Phone
(541) 881-1794
Location Fax
(541) 889-2904
Mailing Address
478 SW 12TH ST ONTARIO, OR 97914
Mailing Phone
(541) 881-1794
Mailing Fax
(541) 889-2904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2008
Last Update Date
05-14-2008
Code Navigator

A dentist like Eastern Oregon Dental Clinic Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
D6574
License State
OR
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

D9048 (OR)
2122300000XDental Providers

Dentist

D6574 (OR)
3122300000XDental Providers

Dentist

D7219 (OR)
41223E0200XDental Providers

Dentist
Endodontics

D9048 (OR)
51223E0200XDental Providers

Dentist
Endodontics

D6574 (OR)
61223E0200XDental Providers

Dentist
Endodontics

D7219 (OR)
71223G0001XDental Providers

Dentist
General Practice

D9048 (OR)
81223G0001XDental Providers

Dentist
General Practice

D7219 (OR)
91223P0300XDental Providers

Dentist
Periodontics

D6574 (OR)
101223P0300XDental Providers

Dentist
Periodontics

D9048 (OR)
111223P0300XDental Providers

Dentist
Periodontics

D7219 (OR)
121223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

D9048 (OR)
131223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

D6574 (OR)
141223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

D7219 (OR)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERIC N DAHLE DMD

Authorized Official Title
MEMBER
Authorized Official Phone
(541) 881-1794

Reviews for EASTERN OREGON DENTAL CLINIC LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609043157
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609046110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 4 + 6 + 1 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1609043157 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164670501 JACOB LORENZA ATKINSON DMD
Individual
Dentist475 SW 12TH ST
ONTARIO, OR 97914
(541) 881-8700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609043157, enumerated in the NPI registry as an "organization" on May 14, 2008

The provider is located at 475 Sw 12th St Ontario, Or 97914 and the phone number is (541) 881-1794

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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