| Mill Creek Dental, Inc. | |
|
521 N 1st Ave Stayton OR 97383-1703 | |
| (503) 769-9699 | |
| (503) 769-8599 |
| Full Name | Mill Creek Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 521 N 1st Ave, Stayton, Oregon |
| Authorized Official Name and Position | Timothy Willliam Burns (PRESIDENT) |
| Authorized Official Contact | 5037699699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Dental, Inc. 521 N 1st Ave Stayton OR 97383-1703 Ph: (503) 769-9699 | Mill Creek Dental, Inc. 521 N 1st Ave Stayton OR 97383-1703 Ph: (503) 769-9699 |
| NPI Number | 1497823546 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497823546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6854 (Oregon) | Primary |
Jeff Van Kirk, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E Washington St, Stayton, OR 97383 Phone: 503-769-6351 Fax: 503-759-7029 | |
Daren L. Goin, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N 2nd Ave, Stayton, OR 97383 Phone: 503-769-3366 Fax: 503-769-5501 | |
Cory M. Smith, Dmd, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N 2nd Ave, Stayton, OR 97383 Phone: 503-769-3366 Fax: 503-769-5501 |