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SOUTH UMPQUA FAMILY DENTAL
NPI 1033349816
Dentist - General Practice in Riddle, OR

Active since July 15, 2009
150 MAIN STREET, RIDDLE, OR 97469(541) 874-3126(541) 874-3259 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Umpqua Family Dental NPPES

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

SOUTH UMPQUA FAMILY DENTAL (NPI 1033349816) is a healthcare organization registered as a general practice in Riddle, Oregon and active in the NPI registry since July 2009. The organization lists Eric Cornelius, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033349816
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH UMPQUA FAMILY DENTAL
Location Address150 MAIN STREETRiddle, OR 97469
Mailing Address150 Main StreetRiddle, OR 97469 · (541) 874-3126 · Fax (541) 874-3259
Phone(541) 874-3126
Fax(541) 874-3259
Organization SubpartNo
Authorized OfficialEric CorneliusManaging Member · (541) 874-3126
Enumeration DateJuly 15, 2009
✔ NPI 1033349816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D9281
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.
150 MAIN STREET, Riddle, OR 97469
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SOUTH UMPQUA FAMILY DENTAL PC
Dentist
150 MAIN STREET
RIDDLE, OR 97469
Douglas County (541) 874-3126

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 South Umpqua Family Dental's NPI number?

The NPI number for South Umpqua Family Dental is 1033349816. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is South Umpqua Family Dental located?

South Umpqua Family Dental is located at 150 Main Street, Riddle, OR 97469. The listed phone number is (541) 874-3126.

What is South Umpqua Family Dental'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 South Umpqua Family Dental was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.