MID-VALLEY DENTAL ASSOCIATES CORVALLIS LLC
NPI 1992169742
Dentist - General Practice in Corvallis, OR

Q: What is Mid-Valley Dental Associates Corvallis LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 07, 2016

2300 NW KINGS BLVD, CORVALLIS, OR 97330(541) 754-2214(541) 754-6631 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mid-valley Dental Associates Corvallis Llc NPPES

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

MID-VALLEY DENTAL ASSOCIATES CORVALLIS LLC (NPI 1992169742) is a healthcare organization registered as a general practice in Corvallis, Oregon and active in the NPI registry since April 2016. The organization lists Mandy Kay Dittmer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1992169742

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMID-VALLEY DENTAL ASSOCIATES CORVALLIS LLC

Location Address2300 NW KINGS BLVDCorvallis, OR 97330-3925

Mailing Address2825 Willetta St SwAlbany, OR 97321-3846 · (541) 928-2301 · Fax (541) 928-8493

Phone(541) 754-2214

Fax(541) 754-6631

Organization SubpartYesParent: Mid-valley Dental Associates Llc

Authorized OfficialMandy Kay DittmerPractice Manager · (541) 928-2301

Enumeration DateApril 7, 2016

✔ NPI 1992169742 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.

2300 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.

MR. KENNETH NEIL HOLDEN LD

Denturist

2300 NW KINGS BLVD
CORVALLIS, OR 97330

Benton County (541) 754-0914

LENORE S HATA DDS

Dentist (General Practice)

2300 NW KINGS BLVD
CORVALLIS, OR 97330

Benton County (541) 754-2214

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 Mid-Valley Dental Associates Corvallis LLC's NPI number?

The NPI number for Mid-Valley Dental Associates Corvallis LLC is 1992169742. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Mid-Valley Dental Associates Corvallis LLC located?

Mid-Valley Dental Associates Corvallis LLC is located at 2300 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 754-2214.

What is Mid-Valley Dental Associates Corvallis 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 Mid-Valley Dental Associates Corvallis LLC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.