APPLEGATE VALLEY DENTAL INC
NPI 1750767661
Dentist - General Practice in Jacksonville, OR

Active since August 03, 2015
181 UPPER APPLEGATE RD, SUITE 20, JACKSONVILLE, OR 97530(541) 899-7824(541) 899-7949 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Applegate Valley Dental Inc NPPES

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

APPLEGATE VALLEY DENTAL INC (NPI 1750767661) is a healthcare organization registered as a general practice in Jacksonville, Oregon and active in the NPI registry since August 2015. The organization lists Michael Boldt, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1750767661
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAPPLEGATE VALLEY DENTAL INC
Location Address181 UPPER APPLEGATE RD, SUITE 20Jacksonville, OR 97530-9739
Mailing Address181 Upper Applegate Rd, Suite 20Jacksonville, OR 97530-9739 · (541) 899-7824 · Fax (541) 899-7949
Fax(541) 899-7949
Organization SubpartNo
Authorized OfficialMichael BoldtPart Owner · (541) 772-2756
Enumeration DateAugust 3, 2015
NPI 1750767661 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 · D6349
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.
181 UPPER APPLEGATE RD, Jacksonville, OR 97530

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist
181 UPPER APPLEGATE RD
JACKSONVILLE, OR 97530
Dentist (General Practice)
181 UPPER APPLEGATE RD, SUITE 20
JACKSONVILLE, OR 97530
Clinic/Center (Dental)
181 UPPER APPLEGATE RD
JACKSONVILLE, OR 97530

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 Applegate Valley Dental Inc's NPI number?

The NPI number for Applegate Valley Dental Inc is 1750767661. It was assigned to this organization in the NPPES registry on August 3, 2015.

Where is Applegate Valley Dental Inc located?

Applegate Valley Dental Inc is located at 181 Upper Applegate Rd Suite 20, Jacksonville, OR 97530. The listed phone number is (541) 899-7824.

What is Applegate Valley Dental 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 Applegate Valley Dental Inc was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.