Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corvallis Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1730459892

Corvallis Family Dentistry, LLC provides General Practice Dentistry in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1829 NW Kings Blvd
Corvallis, OR 97330-1907 Not confirmed with CMS for 14 years — call before visiting
Phone: (541) 752-5048
Fax: (541) 752-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (OR)

Record details

NPI number1730459892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Tidwell — Dentist · (541) 929-5227
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address1829 Nw Kings Blvd, Corvallis, OR 97330-1907

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