Acorn Dentistry For Kids - West Salem, LLC
Dentist, Pediatric Dentistry in Salem, Oregon
1043869191- Practice location
- 1049 Edgewater St NW, Salem, OR 97304-4046
- Phone
- 503-874-4560
- Fax
- 503-874-4562
- Last updated
- September 10, 2019
Acorn Dentistry For Kids - West Salem, LLC is a healthcare organization based in Salem, OR. The NPI number for Acorn Dentistry For Kids - West Salem, LLC is 1043869191. The current practice location address is 1049 Edgewater St NW, Salem, OR 97304-4046 and the office can be reached by phone at 503-874-4560 and by fax at 503-874-4562. The NPI was assigned on September 10, 2019 and the record was last updated in NPPES on September 10, 2019.
●Provider Profile Details
- NPI Number
- 1043869191
- Provider Name
- Acorn Dentistry For Kids - West Salem, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Timothy Richardson, DDS · Owner · 503-874-4560
- Enumeration Date
- September 10, 2019
- Last Update Date
- September 10, 2019
- NPI Status
- Active
- Other Names
- Acorn Dentistry For Kids - West Salem (Doing Business As)
◉Business Practice Location Address
- Address
- 1049 Edgewater St NW
Salem, OR 97304-4046 - City
- Salem
- State
- Oregon
- ZIP
- 97304-4046
- Country
- US
- Phone Number
- 503-874-4560
- Fax Number
- 503-874-4562
✉Business Mailing Address
- Address
- 204 N 1ST St Ste E
Silverton, OR 97381-1635 - City
- Silverton
- State
- OR
- ZIP
- 97381-1635
- Phone Number
- 503-874-4560
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, Pediatric Dentistry 193400000X - Single Specialty Group | 1223P0221X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Salem, OR
View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Acorn Dentistry For Kids - West Salem, LLC?
The NPI number of Acorn Dentistry For Kids - West Salem, LLC is 1043869191. It was assigned on September 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Acorn Dentistry For Kids - West Salem, LLC?
Acorn Dentistry For Kids - West Salem, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).
Where does Acorn Dentistry For Kids - West Salem, LLC practice?
The practice location is 1049 Edgewater St NW, Salem, OR 97304-4046. The office can be reached at 503-874-4560 (phone) or 503-874-4562 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043869191 directly on the NPPES registry website at npiregistry.cms.hhs.gov.