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FAMILY DENTAL GROUP
NPI 1114924933
Dentist - General Practice in Keizer, OR

Active since July 07, 2005
4734 RIVER RD N, KEIZER, OR 97303(503) 463-4663(503) 463-4666 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Dental Group NPPES

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

FAMILY DENTAL GROUP (NPI 1114924933) is a healthcare organization registered as a general practice in Keizer, Oregon and active in the NPI registry since July 2005. The organization lists Timothy R. Harbolt, President, as its authorized official.

NPPES Registry Identity

NPI1114924933
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY R. HARBOLT, DMD
Location Address4734 RIVER RD NKeizer, OR 97303-4536
Mailing Address4734 River Rd NKeizer, OR 97303-4536 · (503) 463-4663 · Fax (503) 463-4666
Phone(503) 463-4663
Fax(503) 463-4666
Organization SubpartNo
Authorized OfficialTimothy R. HarboltPresident · (503) 551-6349
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1114924933 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 · D6816
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.
4734 RIVER RD N, Keizer, OR 97303
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Other Names 1

Doing Business AsFamily Dental Group

Other Identifiers 1

OtherD6816OR · State License Number

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 6

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

JADA HATCHETT
Physical Therapy Assistant
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 967-7874
BEN A. SUTTER DMD
Dentist (General Practice)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
NORTHWEST DENTAL ARTS PC
Dentist
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
DR. LISA M GITELSON DMD
Dentist (General Practice)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
LISA M GITELSON DMD PC
Clinic/Center (Dental)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
ALICIA LOPEZ
Physical Therapy Assistant
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 967-7874

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 Timothy R. Harbolt, Dmd's NPI number?

The NPI number for Timothy R. Harbolt, Dmd is 1114924933. It was assigned to this organization in the NPPES registry on July 7, 2005. The provider is doing business as Family Dental Group.

Where is Timothy R. Harbolt, Dmd located?

Timothy R. Harbolt, Dmd is located at 4734 River Rd N, Keizer, OR 97303. The listed phone number is (503) 463-4663.

What is Timothy R. Harbolt, Dmd'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 Timothy R. Harbolt, Dmd was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.