Glen Creek Dental Llc

LBN: Glen Creek Dental Llc
Glen Creek Dental Llc is an health care organization with primary practice located at 470 Glen Creek Rd Nw Suite 100, Salem OR 97304-3060. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Glen Creek Dental Llc can be contacted via phone (503) 581-1142, or through Shelton, James E via phone (503) 581-1142.

Contact Information

Primary practice address
470 Glen Creek Rd Nw Suite 100 Salem OR 97304-3060
Phone: (503) 581-1142
Fax: (503) 581-4809
Website:
Map and Directions
Authorized official contact:
Name: Shelton, James E Doctor of Dental Medicine (DMD)
Phone: (503) 581-1142

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1235334012
LBN Legal business name Glen Creek Dental Llc
DBA Doing business as
Authorized official Shelton, James E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235334012 NPPES
Oregon Other 1710965611 INDIVIDUAL

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