OREGON COMMUNITY DENTAL CARE NPI 1629343140

NPI Information

  • NPI: 1629343140
  • Provider Name: OREGON COMMUNITY DENTAL CARE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 671 SW MAIN ST
    WINSTON, OR
    ZIP 97496
  • Phone: (888) 468-0022

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NPI Details

OREGON COMMUNITY DENTAL CARE is a general practice dentist in Winston, 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. OREGON COMMUNITY DENTAL CARE NPI is 1629343140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

671 SW MAIN ST
WINSTON, OR
ZIP 97496-571
Phone: (888) 468-0022
Fax: (541) 504-3907

The provider's authorized official is R. Mike Shirtcliff .
The authorized official title is President/ceo and has the following contact phone number (888) 468-0022.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 3/16/2012.

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 PracticeYes

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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