CORVALLIS CHILDREN'S DENTISTRY PC is a pediatric dentistry dentist in Corvallis, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CORVALLIS CHILDREN'S DENTISTRY PC NPI is 1275924227. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2350 NW CENTURY DR
STE 210
CORVALLIS, OR
ZIP 97330-495
Phone: (541) 243-8988
Fax: (541) 243-8990
The provider's authorized official is Kale Gray .
The authorized official title is Dentist and has the following contact phone number (541) 243-8988.
The CLIA number assigned to this NPI record is 38D2209436 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.