CORVALLIS DENTAL GROUP INC
NPI 1689694291
Dentist - General Practice in Corvallis, OR

Active since July 20, 2006
2318 NW KINGS BLVD, CORVALLIS, OR 97330(541) 754-6116(541) 753-3616 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corvallis Dental Group Inc NPPES

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

CORVALLIS DENTAL GROUP INC (NPI 1689694291) is a healthcare organization registered as a general practice in Corvallis, Oregon and active in the NPI registry since July 2006. The organization lists Judith A Slack, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689694291
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCORVALLIS DENTAL GROUP INC
Location Address2318 NW KINGS BLVDCorvallis, OR 97330-3925
Mailing Address2318 Nw Kings BlvdCorvallis, OR 97330-3925 · (541) 754-6116 · Fax (541) 753-3616
Fax(541) 753-3616
Organization SubpartNo
Authorized OfficialJudith A SlackOffice Manager · (541) 754-6116
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1689694291 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 · D54041 Licensed in OR · D6074
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.
2318 NW KINGS BLVD, Corvallis, OR 97330

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 4

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

Dentist (General Practice)
2318 NW KINGS BLVD
CORVALLIS, OR 97330
Dentist
2318 NW KINGS BLVD
CORVALLIS, OR 97330
Dentist (General Practice)
2318 NW KINGS BLVD
CORVALLIS, OR 97330
Dentist
2318 NW KINGS BLVD
CORVALLIS, OR 97330

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 Corvallis Dental Group Inc's NPI number?

The NPI number for Corvallis Dental Group Inc is 1689694291. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Corvallis Dental Group Inc located?

Corvallis Dental Group Inc is located at 2318 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 754-6116.

What is Corvallis Dental Group Inc'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 Corvallis Dental Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.