CORVALLIS CHILDREN'S DENTISTRY PC
NPI 1275924227
Dentist - Pediatric Dentistry in Corvallis, OR
About Corvallis Children's Dentistry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORVALLIS CHILDREN'S DENTISTRY PC (NPI 1275924227) is a healthcare organization registered as a pediatric dentistry in Corvallis, Oregon and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Kale Gray, Dentist, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0922308
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- LYDIA A. FUSETTI MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corvallis Children's Dentistry Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275924227, enumerated as an "organization" on February 12, 2015.
The provider is located at 2350 NW CENTURY DR STE 210 CORVALLIS, OR 97330 and the phone number is (541) 243-8988.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
