ELM STREET FAMILY DENTAL
NPI 1003295015
Dentist - General Practice in Albany, OR

Active since May 22, 2015
1036 ELM ST SW, ALBANY, OR 97321(541) 928-2993(541) 926-0339 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elm Street Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELM STREET FAMILY DENTAL (NPI 1003295015) is a healthcare organization registered as a general practice in Albany, Oregon and active in the NPI registry since May 2015. The organization lists Lane S Harris, Member, as its authorized official.

NPPES Registry Identity

NPI1003295015
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELM STREET DENTAL LLC
Location Address1036 ELM ST SWAlbany, OR 97321-2039
Mailing Address1036 Elm St SwAlbany, OR 97321-2039 · (541) 928-2993 · Fax (541) 926-0339
Fax(541) 926-0339
Organization SubpartNo
Authorized OfficialLane S HarrisMember · (541) 928-2993
Enumeration DateMay 22, 2015
NPI 1003295015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in OR · D7193 Licensed in OR · D9733
Definition
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.
1036 ELM ST SW, Albany, OR 97321

Other Names 1

Doing Business AsElm Street Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1036 ELM ST SW
ALBANY, OR 97321
Dentist
1036 ELM ST SW
ALBANY, OR 97321
Dentist
1036 ELM ST SW
ALBANY, OR 97321
Dentist (General Practice)
1036 ELM ST SW
ALBANY, OR 97321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elm Street Dental LLC's NPI number?

The NPI number for Elm Street Dental LLC is 1003295015. It was assigned to this organization in the NPPES registry on May 22, 2015. The provider is doing business as Elm Street Family Dental.

Where is Elm Street Dental LLC located?

Elm Street Dental LLC is located at 1036 Elm St SW, Albany, OR 97321. The listed phone number is (541) 928-2993.

What is Elm Street Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elm Street Dental LLC was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.