WILLAMETTE DENTAL GROUP
NPI 1992182026
Dentist in Salem, OR

Q: What is Willamette Dental Group's NPI number?

The NPI number for Willamette Dental Group is 1992182026. It was assigned to this organization in the NPPES registry on April 27, 2015.

Q: What is Willamette Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 27, 2015

3490 LANCASTER DR NE, SALEM, OR 97305(503) 540-9041 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Willamette Dental Group NPPES

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

WILLAMETTE DENTAL GROUP (NPI 1992182026) is a healthcare organization registered as a dentist in Salem, Oregon and active in the NPI registry since April 2015. The organization lists Camille Stark, Cpcs Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1992182026

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWILLAMETTE DENTAL GROUP

Location Address3490 LANCASTER DR NESalem, OR 97305-1356

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611

Phone(503) 540-9041

Organization SubpartNo

Authorized OfficialCamille StarkCpcs Credentialing Specialist · (503) 952-2125

Enumeration DateApril 27, 2015

✔ NPI 1992182026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8124

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3490 LANCASTER DR NE, Salem, OR 97305

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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 13

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

DR. JEFFERSON B GOURLEY DDS

Dentist (Endodontics)