1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Dentist
  6. NPI Profile

CRISDENTAL SALEM L.L.C.
NPI 1760741078
Dentist - General Practice in Salem, OR

Active since May 07, 2012
1355 EDGEWATER ST NW, SALEM, OR 97304(503) 588-6960 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crisdental Salem L.l.c. NPPES

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

CRISDENTAL SALEM L.L.C. (NPI 1760741078) is a healthcare organization registered as a general practice in Salem, Oregon and active in the NPI registry since May 2012. The organization lists Michael J Bratland, Owner, as its authorized official.

NPPES Registry Identity

NPI1760741078
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRISDENTAL SALEM L.L.C.
Location Address1355 EDGEWATER ST NWSalem, OR 97304-4077
Mailing Address1333 W Harvard AveRoseburg, OR 97471-2838 · (541) 672-2747
Phone(503) 588-6960
Organization SubpartYesParent: Crisdental P.c.
Authorized OfficialMichael J BratlandOwner · (541) 672-2747
Enumeration DateMay 7, 2012
✔ NPI 1760741078 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.
1355 EDGEWATER ST NW, Salem, OR 97304
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 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.

KAYLA ALLEN BREYER DMD
Dentist (General Practice)
1355 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-6960
MISS KARA L OPHEIM DDS
Dentist
1355 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-6960
DR. WILLIAM J BLAUMER DMD
Dentist (General Practice)
1355 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-6960
WILLIAM J. BLAUMER
Dentist
1355 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-6960

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 Crisdental Salem L.L.C.'s NPI number?

The NPI number for Crisdental Salem L.L.C. is 1760741078. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Crisdental Salem L.L.C. located?

Crisdental Salem L.L.C. is located at 1355 Edgewater St NW, Salem, OR 97304. The listed phone number is (503) 588-6960.

What is Crisdental Salem L.L.C.'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 Crisdental Salem L.L.C. was last updated on May 7, 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.