Active NPIIndividual providerSole proprietor

Jonathan E Backer, DDS

Dentist, General Practice in Cottage Grove, Oregon

NPI Number1477629046
Practice location
1551 E Main St, Cottage Grove, OR 97424-2241
Fax
541-942-1350
Last updated
January 9, 2019

Jonathan E Backer, DDS is a Dentist, General Practice based in Cottage Grove, OR. Jonathan E Backer, DDS holds the professional credentials of DDS. The NPI number for Jonathan E Backer, DDS is 1477629046 and holds license No. D7805 (OR). The current practice location address is 1551 E Main St, Cottage Grove, OR 97424-2241 and the office can be reached by phone at 541-942-8437 and by fax at 541-942-1350. The NPI was assigned on November 27, 2006 and the record was last updated in NPPES on January 9, 2019.

●Provider Profile Details

NPI Number
1477629046
Provider Name
Jonathan E Backer
Credential
DDS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Enumeration Date
November 27, 2006
Last Update Date
January 9, 2019
NPI Status
Active

◉Business Practice Location Address

Address
1551 E Main St
Cottage Grove, OR 97424-2241
State
Oregon
ZIP
97424-2241
Country
US
Phone Number
541-942-8437
Fax Number
541-942-1350

Get directions →

✉Business Mailing Address

Address
1551 E Main St
Cottage Grove, OR 97424-2241
City
Cottage Grove
State
OR
ZIP
97424-2241
Phone Number
541-942-8437
Fax Number
541-942-1350

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist122300000XNoD7805OR
Dentist, General Practice1223G0001XYesD7805OR

#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 Jonathan E Backer, DDS?

The NPI number of Jonathan E Backer, DDS is 1477629046. It was assigned on November 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Jonathan E Backer, DDS?

Jonathan E Backer, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. D7805 (OR).

Where does Jonathan E Backer, DDS practice?

The practice location is 1551 E Main St, Cottage Grove, OR 97424-2241. The office can be reached at 541-942-8437 (phone) or 541-942-1350 (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 1477629046 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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