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CREEKSIDE FAMILY DENTAL
NPI 1174073043
Clinic/Center - Dental in Medford, OR

Active since October 04, 2016
1234 N RIVERSIDE AVE, MEDFORD, OR 97501(541) 773-3756 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Family Dental NPPES

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

CREEKSIDE FAMILY DENTAL (NPI 1174073043) is a healthcare organization registered as a dental in Medford, Oregon and active in the NPI registry since October 2016. The organization lists Angie Holmes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174073043
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCREEKSIDE FAMILY DENTAL
Location Address1234 N RIVERSIDE AVEMedford, OR 97501-4619
Mailing Address1234 N Riverside AveMedford, OR 97501-4619 · (541) 773-3756
Phone(541) 773-3756
Organization SubpartNo
Authorized OfficialAngie HolmesOffice Manager · (541) 773-3756
Enumeration DateOctober 4, 2016
✔ NPI 1174073043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in OR · 1700042313
1234 N RIVERSIDE AVE, Medford, OR 97501
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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 Creekside Family Dental's NPI number?

The NPI number for Creekside Family Dental is 1174073043. It was assigned to this organization in the NPPES registry on October 4, 2016.

Where is Creekside Family Dental located?

Creekside Family Dental is located at 1234 N Riverside Ave, Medford, OR 97501. The listed phone number is (541) 773-3756.

What is Creekside Family Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Creekside Family Dental was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.