South Umpqua Family Dental PC
South Umpqua Family Dental PC provides Dentist services in Riddle, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
150 Main StRiddle, OR 97469-0107 Not confirmed with CMS for 15 years — call before visiting
Phone: (541) 874-3126
Fax: (541) 874-3259
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D9281 (OR) |
|---|
Record details
| NPI number | 1659675338 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Cornelius — President/Secretary · (541) 874-3126 |
| NPI enumerated | January 10, 2011 |
| Last updated in NPPES | January 10, 2011 |
| Mailing address | Po Box 107, Riddle, OR 97469-0107 |