Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Dentistry of Gold Beach, Inc

Organization Dentist · NPI 1649293036

Family Dentistry of Gold Beach, Inc provides Dentist services in Gold Beach, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29814 Ellensburg Ave
Gold Beach, OR 97444-1600
Phone: (541) 247-8000
Fax: (541) 247-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D6942 (OR)

Record details

NPI number1649293036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herman Liem — Ceo · (541) 247-8000
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1600, 29814 Ellensburg, Gold Beach, OR 97444-1600

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