ROGUE VALLEY FAMILY DENTISTRY LLC
NPI 1265815799
Dentist - General Practice in Grants Pass, OR

Active since July 01, 2015
1873 WILLIAMS HWY STE 1A, GRANTS PASS, OR 97527(541) 479-5505(541) 479-7891 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rogue Valley Family Dentistry Llc NPPES

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

ROGUE VALLEY FAMILY DENTISTRY LLC (NPI 1265815799) is a healthcare organization registered as a general practice in Grants Pass, Oregon and active in the NPI registry since July 2015. The organization lists Andrew Dale Gordon, Buisness Manager, as its authorized official.

NPPES Registry Identity

NPI1265815799
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROGUE VALLEY FAMILY DENTISTRY LLC
Location Address1873 WILLIAMS HWY STE 1AGrants Pass, OR 97527-5843
Mailing Address1250 Thompson RdCoos Bay, OR 97420-2538 · (541) 269-5353 · Fax (541) 266-0933
Fax(541) 479-7891
Organization SubpartNo
Authorized OfficialAndrew Dale GordonBuisness Manager · (541) 269-5353
Enumeration DateJuly 1, 2015
NPI 1265815799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in OR · D9619 Licensed in OR · D9399 Licensed in OR · D9604
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.
1873 WILLIAMS HWY STE 1A, Grants Pass, OR 97527

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 MULTIPLE 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.

Dentist (General Practice)
1873 WILLIAMS HWY STE 1A
GRANTS PASS, OR 97527

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 Rogue Valley Family Dentistry LLC's NPI number?

The NPI number for Rogue Valley Family Dentistry LLC is 1265815799. It was assigned to this organization in the NPPES registry on July 1, 2015.

Where is Rogue Valley Family Dentistry LLC located?

Rogue Valley Family Dentistry LLC is located at 1873 Williams Hwy Ste 1A, Grants Pass, OR 97527. The listed phone number is (541) 479-5505.

What is Rogue Valley Family Dentistry LLC'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 Rogue Valley Family Dentistry LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.