APPLEGATE VALLEY DENTAL INC. NPI 1477939494

NPI Information

  • NPI: 1477939494
  • Provider Name: APPLEGATE VALLEY DENTAL, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 181 UPPER APPLEGATE RD
    SUITE 20
    JACKSONVILLE, OR
    ZIP 97530
  • Phone: (541) 899-7824

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NPI Details

APPLEGATE VALLEY DENTAL, INC. is a general practice dentist in Jacksonville, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. APPLEGATE VALLEY DENTAL, INC. NPI is 1477939494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

181 UPPER APPLEGATE RD
SUITE 20
JACKSONVILLE, OR
ZIP 97530-739
Phone: (541) 899-7824
Fax: (541) 899-7949

The provider's authorized official is Thomas Glenn Brooks .
The authorized official title is Part Owner and has the following contact phone number (541) 855-7920.

The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD6262OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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