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WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGEY, INC.
NPI 1144575267
Dentist - Oral and Maxillofacial Surgery in Salem, OR

Active since July 15, 2012
250 CHURCH ST SE STE 102, SALEM, OR 97301(503) 581-1999(503) 581-1107 Get Directions Write a Review

NPPES record last updated: July 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willamette Valley Oral & Maxillofacial Surgey, Inc. NPPES

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

WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGEY, INC. (NPI 1144575267) is a healthcare organization registered as an oral and maxillofacial surgery in Salem, Oregon and active in the NPI registry since July 2012. The organization lists Holly J Eyre, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144575267
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGEY, INC.
Location Address250 CHURCH ST SE STE 102Salem, OR 97301-3758
Mailing Address250 Church St Se Ste 102Salem, OR 97301-3758 · (503) 581-1999 · Fax (503) 581-1107
Phone(503) 581-1999
Fax(503) 581-1107
Organization SubpartNo
Authorized OfficialHolly J EyreOffice Manager · (503) 581-1999
Enumeration DateJuly 15, 2012
✔ NPI 1144575267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D6858
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
250 CHURCH ST SE STE 102, Salem, OR 97301
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Other Identifiers 1

Medicare UPING76082OR

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 4

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

OR SPECIALTY DENTAL SERVICES LLC
Clinic/Center (Oral and Maxillofacial Surgery)
250 CHURCH ST SE STE 102
SALEM, OR 97301
Marion County (503) 581-1999
OR OMS SPECIALTY DENTAL SERVICES, LLC
Dentist (Oral and Maxillofacial Surgery)
250 CHURCH ST SE STE 102
SALEM, OR 97301
Marion County (503) 581-1999
OR OMS SPECIALTY DENTAL SERVICES, LLC
Dentist (Oral and Maxillofacial Surgery)
250 CHURCH ST SE STE 102
SALEM, OR 97301
Marion County (503) 581-1999
JIN PARK
Dentist (Oral and Maxillofacial Surgery)
250 CHURCH ST SE STE 102
SALEM, OR 97301
Marion County (503) 581-1999

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 Willamette Valley Oral & Maxillofacial Surgey, Inc.'s NPI number?

The NPI number for Willamette Valley Oral & Maxillofacial Surgey, Inc. is 1144575267. It was assigned to this organization in the NPPES registry on July 15, 2012.

Where is Willamette Valley Oral & Maxillofacial Surgey, Inc. located?

Willamette Valley Oral & Maxillofacial Surgey, Inc. is located at 250 Church St SE Ste 102, Salem, OR 97301. The listed phone number is (503) 581-1999.

What is Willamette Valley Oral & Maxillofacial Surgey, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Willamette Valley Oral & Maxillofacial Surgey, Inc. was last updated on July 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.