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EASTERN OREGON DENTAL CLINIC LLC
NPI 1609043157
Dentist - General Practice in Ontario, OR

Active since May 14, 2008
475 SW 12TH ST, ONTARIO, OR 97914(541) 881-1794(541) 889-2904 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Oregon Dental Clinic Llc NPPES

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

EASTERN OREGON DENTAL CLINIC LLC (NPI 1609043157) is a healthcare organization registered as a general practice in Ontario, Oregon and active in the NPI registry since May 2008. The organization lists Eric N Dahle, Member, as its authorized official.

NPPES Registry Identity

NPI1609043157
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTERN OREGON DENTAL CLINIC LLC
Location Address475 SW 12TH STOntario, OR 97914-3201
Mailing Address478 Sw 12th StOntario, OR 97914-3202 · (541) 881-1794 · Fax (541) 889-2904
Phone(541) 881-1794
Fax(541) 889-2904
Organization SubpartNo
Authorized OfficialEric N DahleMember · (541) 881-1794
Enumeration DateMay 14, 2008
✔ NPI 1609043157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D6574✔ Licensed in OR · D9048✔ Licensed in OR · D7219
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.
Also ListedDentistTaxonomy 122300000X · License D9048 (OR), D6574 (OR), D7219 (OR)
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License D9048 (OR), D6574 (OR), D7219 (OR)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License D6574 (OR), D9048 (OR), D7219 (OR)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D9048 (OR), D6574 (OR), D7219 (OR)
475 SW 12TH ST, Ontario, OR 97914
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

JACOB LORENZA ATKINSON DMD
Dentist
475 SW 12TH ST
ONTARIO, OR 97914
Malheur County (541) 881-8700

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 Eastern Oregon Dental Clinic LLC's NPI number?

The NPI number for Eastern Oregon Dental Clinic LLC is 1609043157. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is Eastern Oregon Dental Clinic LLC located?

Eastern Oregon Dental Clinic LLC is located at 475 SW 12th St, Ontario, OR 97914. The listed phone number is (541) 881-1794.

What is Eastern Oregon Dental Clinic LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Eastern Oregon Dental Clinic LLC accept?

Health plans from UnitedHealthcare list Eastern Oregon Dental Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastern Oregon Dental Clinic LLC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.