1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HAZEL DENTAL
NPI 1902676711
Dentist - General Practice in Salem, OR

Active since January 03, 2024
2235 MISSION ST SE STE 250, SALEM, OR 97302(971) 707-0117 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Jan 3, 2024 (2 updates tracked since 2024).

About Hazel Dental NPPES

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

HAZEL DENTAL (NPI 1902676711), doing business as Edgewater Dental, is a healthcare organization registered as a general practice in Salem, Oregon and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Salem and lists Benjamin James, Owner, as its authorized official.

NPPES Registry Identity

NPI1902676711
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHAZEL DENTAL
Location Address2235 MISSION ST SE STE 250Salem, OR 97302-1294
Mailing Address2235 Mission St Se Ste 250Salem, OR 97302-1294 · (971) 707-0117
Phone(971) 707-0117
Organization SubpartNo
Authorized OfficialBenjamin JamesOwner · (971) 707-0117
Enumeration DateJanuary 3, 2024
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1902676711 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.
2235 MISSION ST SE STE 250, Salem, OR 97302
Open in Google Maps ↗

Other Names 1

Doing Business AsEdgewater Dental

Secondary Practice Location 1

Location 11353 Edgewater St NWSalem, OR 97304-4050 · Phone (503) 378-0466

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

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 Hazel Dental's NPI number?

The NPI number for Hazel Dental is 1902676711. It was assigned to this organization in the NPPES registry on January 3, 2024. The provider is doing business as Edgewater Dental.

Where is Hazel Dental located?

Hazel Dental is located at 2235 Mission St SE Ste 250, Salem, OR 97302. The listed phone number is (971) 707-0117.

What is Hazel Dental'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 Hazel Dental was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.