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CORVALLIS FAMILY DENTISTRY, LLC
NPI 1730459892
Dentist - General Practice in Corvallis, OR

Active since January 06, 2012
1829 NW KINGS BLVD, CORVALLIS, OR 97330(541) 752-5048(541) 752-9213 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corvallis Family Dentistry, Llc NPPES

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

CORVALLIS FAMILY DENTISTRY, LLC (NPI 1730459892) is a healthcare organization registered as a general practice in Corvallis, Oregon and active in the NPI registry since January 2012. The organization lists Brian D Tidwell, Dentist, as its authorized official.

NPPES Registry Identity

NPI1730459892
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCORVALLIS FAMILY DENTISTRY, LLC
Location Address1829 NW KINGS BLVDCorvallis, OR 97330-1907
Mailing Address1829 Nw Kings BlvdCorvallis, OR 97330-1907 · (541) 752-5048 · Fax (541) 752-9213
Phone(541) 752-5048
Fax(541) 752-9213
Organization SubpartNo
Authorized OfficialBrian D TidwellDentist · (541) 929-5227
Enumeration DateJanuary 6, 2012
✔ NPI 1730459892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1829 NW KINGS BLVD, Corvallis, OR 97330
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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

Other Providers at the Same Location NPPES 2

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

DR. GREGORY T SORIANO DMD
Dentist
1829 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 752-5048
COASTLINE CORVALLIS CLINIC LLC
Clinic/Center (Ambulatory Surgical)
1829 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 757-7100

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 Family Dentistry, LLC's NPI number?

The NPI number for Corvallis Family Dentistry, LLC is 1730459892. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Corvallis Family Dentistry, LLC located?

Corvallis Family Dentistry, LLC is located at 1829 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 752-5048.

What is Corvallis 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 Corvallis Family Dentistry, LLC was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.