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IDYLWOOD DENTAL LLC
NPI 1437643616
Dentist - General Practice in Salem, OR

Active since June 20, 2018
4392 LIBERTY ROAD, SALEM, OR 97302(503) 315-2500(503) 315-7227 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idylwood Dental Llc NPPES

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

IDYLWOOD DENTAL LLC (NPI 1437643616) is a healthcare organization registered as a general practice in Salem, Oregon and active in the NPI registry since June 2018. The organization lists Edgar Merzenich, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1437643616
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDYLWOOD DENTAL LLC
Location Address4392 LIBERTY ROADSalem, OR 97302-6171
Mailing AddressPo Box 3000Salem, OR 97302-8001 · (800) 544-2345 · Fax (503) 315-7227
Phone(503) 315-2500
Fax(503) 315-7227
Organization SubpartNo
Authorized OfficialEdgar MerzenichClinical Director · (503) 315-2500
Enumeration DateJune 20, 2018
✔ NPI 1437643616 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 · 4063
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.
4392 LIBERTY ROAD, Salem, OR 97302
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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

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 Idylwood Dental LLC's NPI number?

The NPI number for Idylwood Dental LLC is 1437643616. It was assigned to this organization in the NPPES registry on June 20, 2018.

Where is Idylwood Dental LLC located?

Idylwood Dental LLC is located at 4392 Liberty Road, Salem, OR 97302. The listed phone number is (503) 315-2500.

What is Idylwood Dental 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 Idylwood Dental LLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.