Creekside Family Dental Pc in Salem - General Practice
Creekside Family Dental Pc - NPI 1659408276
Creekside Family Dental Pc is a General Practice in Salem, Oregon. Creekside Family Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Creekside Family Dental Pc is 1659408276. The last update date is 2020-08-22.
Creekside Family Dental Pc's current location address is 620 12th St Se, Salem, Oregon. You can contact this provider via phone number 5035812454 and fax number 5035811819. The mailing address for Creekside Family Dental Pc is 620 12th St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creekside Family Dental Pc |
|---|---|
| Address | 620 12th St Se, Salem, Oregon |
| Phone Number | 5035812454 |
| Fax Number | 5035811819 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nakagawa Bryan |
| Credentials | DMD |
| Telephone Number | 5035812454 |
NPI Number Detail
| NPI Number | 1659408276 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 620 12th St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973014001 |
| Phone Number | 5035812454 |
| Fax Number | 5035811819 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7934 |
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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. |
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What is the unique identifier code issued to Creekside Family Dental Pc by the Centers for Medicare & Medicaid Services?
The Creekside Family Dental Pc has been assigned the NPI (National Provider Identifier) 1659408276. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Creekside Family Dental Pc's physical address?
The Creekside Family Dental Pc is physically located at 620 12Th St Se, in the city of Salem, OR, with the postal code 973014001.
What is Creekside Family Dental Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Creekside Family Dental Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Creekside Family Dental Pc receive its 1659408276 assignment?
The Creekside Family Dental Pc was assigned its 1659408276 on 2007-02-28, which is the date when this unique identifier was issued to the organization.
When was the information related to Creekside Family Dental Pc most recently updated or refreshed?
The details pertaining to the Creekside Family Dental Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1417950320
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