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Active NPI 1700999380 Organization (Entity Type 2)

Gary E Brooks Dmd Inc

Dentist • Willamina, OR

About Gary E Brooks Dmd Inc NPI 1700999380 Summary

Gary E Brooks Dmd Inc is a verified healthcare organization specializing in Dentist operating in Willamina, OR. Located at 247 LAMSON ST., this facility provides patient care and medical services under National Provider Identifier (NPI) 1700999380.

Administrative operations and authorized compliance are overseen by Gary Brooks (President).

Facility Location & Contact Primary Location

Facility Address

247 Lamson St.

Willamina, OR 973960569

Telephone 5038763911
Fax 5038768911

Authorized Official Information

Authorized Contact Name

DR. Gary Brooks , DMD

Title / Role

President

Official Telephone

5038763911

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2011

Registered at 247 LAMSON ST., WILLAMINA, OR 973960569 (Tel: 5038763911)

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Updated Business Mailing Address December 19, 2011

Registered at 247 SW LAMSON ST., PO BOX 569, WILLAMINA, OR 973960569 (Tel: 5038763911)

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Organization / Clinic Name Updated December 19, 2011

Operating as GARY E BROOKS DMD INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2011

Dentist (License #4599 in OR)

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Initial NPI Registration & Enumeration August 16, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1700999380
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 16, 2006
Last Update: December 19, 2011

Mailing Address

247 Sw Lamson St., Po Box 569

Willamina, OR 973960569

Phone: 5038763911

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.