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Active NPI 1114348612 Organization (Entity Type 2)

Xia Llc

Dentist - Endodontics • Eugene, OR

Public Directory Information & Medical Disclaimer

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About Xia Llc NPI 1114348612 Summary

Xia Llc is a verified healthcare organization specializing in Dentist - Endodontics operating in Eugene, OR. Located at 85 CENTENNIAL LOOP, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114348612.

Administrative operations and authorized compliance are overseen by Tian Xia (Manager, Member).

Facility Location & Contact Primary Location

Facility Address

85 Centennial Loop

Eugene, OR 974017907

Telephone 5413425578

Authorized Official Information

Authorized Contact Name

Tian Xia , DDS

Title / Role

Manager, Member

Official Telephone

5413425578

Facility Classifications & Specialties

Dentist - Endodontics Primary Taxonomy

NUCC Taxonomy Code: 1223E0200X

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 30, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2013

Registered at 85 CENTENNIAL LOOP, EUGENE, OR 974017907 (Tel: 5413425578)

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Updated Business Mailing Address December 30, 2013

Registered at 92865 SADDLEVIEW DR, P.O.BOX 1122, MARCOLA, OR 974549103 (Tel: 5415148785)

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Organization / Clinic Name Updated December 30, 2013

Operating as XIA LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2013

Dentist (License #D8100 in OR)

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Initial NPI Registration & Enumeration December 30, 2013

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1114348612
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 30, 2013
Last Update: December 30, 2013

Mailing Address

92865 Saddleview Dr, P.o.box 1122

Marcola, OR 974549103

Phone: 5415148785

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.