Corvallis Dental Group Inc

LBN: Corvallis Dental Group Inc
Corvallis Dental Group Inc is an health care organization with primary practice located at 2318 Nw Kings Blvd , Corvallis OR 97330-3925. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Corvallis Dental Group Inc can be contacted via phone (541) 754-6116, or through Slack, Judith A via phone (541) 754-6116.

Contact Information

Primary practice address
2318 Nw Kings Blvd Corvallis OR 97330-3925
Phone: (541) 754-6116
Fax: (541) 753-3616
Website:
Map and Directions
Authorized official contact:
Name: Slack, Judith A
Phone: (541) 754-6116

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D54041 Oregon
Dental Providers / General Practice 1223G0001X D6074 Oregon

Profile Details

NPI number 1689694291
LBN Legal business name Corvallis Dental Group Inc
DBA Doing business as
Authorized official Slack, Judith A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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