Organization · Type 2 NPI

Acorn Dentistry for Kids - Corvallis, LLC

Dental Clinic/Center · Corvallis, OR

NPI number 1669960019 Active

Practice location

1731 NW Kings Blvd
Corvallis, OR 97330-1905

Call (503) 874-4560 Map

Fax (503) 874-4562

Mailing address

411 N Water St
Silverton, OR 97381-1625

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	D9577 (OR)

Dental Clinic/Center: Definition to come...

4 other providers at this address

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NPI record

NPI: 1669960019
Entity type: Organization (Type 2)
Issued: May 1, 2018
Last updated: May 1, 2018
Status: Active

Other names

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Acorn Dentistry for Kids - Corvallis · doing business as
Acorn Dentistry for Kids - Corvallis · doing business as

Authorized official

Timothy Richardson, DDS
Owner/dentist
(503) 874-4560

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About NPI 1669960019

Acorn Dentistry for Kids - Corvallis, LLC's National Provider Identifier is 1669960019, issued on May 1, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Corvallis, OR. The record was last updated on May 1, 2018.