Active NPIIndividual providerSole proprietor

Dr. Jeb S Andrus, DMD

Dentist, General Practice in Eugene, Oregon

NPI Number1104911411
Practice location
2457 Oakmont Way, Eugene, OR 97401
Fax
253-968-5919
Last updated
October 29, 2025

Dr. Jeb S Andrus, DMD is a Dentist, General Practice based in Eugene, OR. Dr. Jeb S Andrus, DMD holds the professional credentials of DMD. The NPI number for Dr. Jeb S Andrus, DMD is 1104911411 and holds license No. D8815 (OR). The current practice location address is 2457 Oakmont Way, Eugene, OR 97401 and the office can be reached by phone at 541-484-2046 and by fax at 253-968-5919. The NPI was assigned on October 3, 2006 and the record was last updated in NPPES on October 29, 2025.

●Provider Profile Details

NPI Number
1104911411
Provider Name
Jeb Stuart Andrus
Credential
DMD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Enumeration Date
October 3, 2006
Last Update Date
October 29, 2025
Certification Date
October 29, 2025
NPI Status
Active

◉Business Practice Location Address

Address
2457 Oakmont Way
Eugene, OR 97401
City
Eugene
State
Oregon
ZIP
97401
Country
US
Phone Number
541-484-2046
Fax Number
253-968-5919

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✉Business Mailing Address

Address
2457 Oakmont Way
Eugene, OR 97401
City
Eugene
State
OR
ZIP
97401
Phone Number
541-484-2046
Fax Number
253-968-5919

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYesD8815OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Jeb S Andrus, DMD?

The NPI number of Dr. Jeb S Andrus, DMD is 1104911411. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeb S Andrus, DMD?

Dr. Jeb S Andrus, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. D8815 (OR).

Where does Dr. Jeb S Andrus, DMD practice?

The practice location is 2457 Oakmont Way, Eugene, OR 97401. The office can be reached at 541-484-2046 (phone) or 253-968-5919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104911411 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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