JEFF VAN KIRK, DMD, PC
NPI 1124440417
Dentist - General Practice in Stayton, OR

Q: What is Jeff Van Kirk, Dmd, PC's NPI number?

The NPI number for Jeff Van Kirk, Dmd, PC is 1124440417. It was assigned to this organization in the NPPES registry on January 6, 2014.

Q: What is Jeff Van Kirk, Dmd, PC's specialty?

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

Active since January 06, 2014

450 E WASHINGTON ST, STAYTON, OR 97383(503) 769-6351(503) 759-7029 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeff Van Kirk, Dmd, Pc NPPES

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

JEFF VAN KIRK, DMD, PC (NPI 1124440417) is a healthcare organization registered as a general practice in Stayton, Oregon and active in the NPI registry since January 2014. The organization lists Jeff Scott Van Kirk, President, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1124440417

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJEFF VAN KIRK, DMD, PC

Location Address450 E WASHINGTON STStayton, OR 97383-1837

Mailing Address1390 Alpine Lakes St SeSalem, OR 97317-6976 · (216) 394-3140

Phone(503) 769-6351

Fax(503) 759-7029

Organization SubpartNo

Authorized OfficialJeff Scott Van KirkPresident, General Dentist · (216) 394-3140

Enumeration DateJanuary 6, 2014

✔ NPI 1124440417 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 · D9848

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.

450 E WASHINGTON ST, Stayton, OR 97383

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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.

DR. ROGER VANSANTEN D.D.S.

Dentist

450 E WASHINGTON ST
STAYTON, OR 97383

Marion County (503) 769-6351

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 Jeff Van Kirk, Dmd, PC's NPI number?

The NPI number for Jeff Van Kirk, Dmd, PC is 1124440417. It was assigned to this organization in the NPPES registry on January 6, 2014.

Where is Jeff Van Kirk, Dmd, PC located?

Jeff Van Kirk, Dmd, PC is located at 450 E Washington St, Stayton, OR 97383. The listed phone number is (503) 769-6351.

What is Jeff Van Kirk, Dmd, PC'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 Jeff Van Kirk, Dmd, PC was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.