Corvallis Family Dentistry, Llc

LBN: Corvallis Family Dentistry, Llc
Corvallis Family Dentistry, Llc is an health care organization with primary practice located at 1829 Nw Kings Blvd , Corvallis OR 97330-1907. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Corvallis Family Dentistry, Llc can be contacted via phone (541) 752-5048, or through Tidwell, Brian D via phone (541) 929-5227.

Contact Information

Primary practice address
1829 Nw Kings Blvd Corvallis OR 97330-1907
Phone: (541) 752-5048
Fax: (541) 752-9213
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Brian D Doctor of Dental Surgery (DDS)
Phone: (541) 929-5227

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Oregon

Profile Details

NPI number 1730459892
LBN Legal business name Corvallis Family Dentistry, Llc
DBA Doing business as
Authorized official Tidwell, Brian D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 13 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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